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- PTB Diagnostic ECG
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- Record:
Record s0090lre-patient028
- ECG date: 03/01/1991
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Diagnose
- Reason for admission: Myocardial infarction
- Acute infarction (localization): anterior
- Former infarction (localization): no
- Additional diagnoses: Hypercholesterinemia, Obesity
- Smoker: yes
- Number of coronary vessels involved: 3
- Infarction date (acute): 30/12/1990
- Previous infarction (1) date: n/a
- Previous infarction (2) date: n/a
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Hemodynamics
- Catheterization date: 07/01/1991
- Ventriculography: Akinesia infero-apikal wall, Hypokinesia antero-lateral wall
- Chest X-ray: normal
- Peripheral blood Pressure (syst/diast): 100/60 mmHg
- Pulmonary artery pressure (at rest) (syst/diast): 23/10 cmH2O
- Pulmonary artery pressure (at rest) (mean): 18 cmH2O
- Pulmonary capillary wedge pressure (at rest): 14 cmH2O
- Cardiac output (at rest): n/a
- Cardiac index (at rest): 3,28 l/min/sqrmBSA
- Stroke volume index (at rest): 60.7 ml/beat
- Pulmonary artery pressure (load) (syst/diast): 60/28 cmH2O
- Pulmonary artery pressure (load) (mean): 41 cmH2O
- Pulmonary capillary wedge pressure (load): 35 cmH2O
- Cardiac output (load): 16 l/min
- Cardiac index (load): 6,99 l/min/sqrmBSA
- Stroke volume index (load): 69,9 ml/beat
- Aorta (at rest) (syst/diast): n/a
- Aorta (at rest) mean: n/a
- Left coronary artery stenoses (RIVA): RIVA distal to ramus diagonalis_2 50%
- Left coronary artery stenoses (RCX): RCX proximal 50%
- Right coronary artery stenoses (RCA): RCA at origin 50%, peripheral 60%
- Echocardiography: n/a
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Therapy
- Infarction date: 30/12/1990
- Catheterization date: 07/01/1991
- Admission date: 30/12/1990
- Medication pre admission: -
- Start lysis therapy (hh.mm): 18:55
- Lytic agent: Urokinase
- Dosage (lytic agent): 1.5 Mio IE
- Additional medication: Heparin ASA Ca-antagonist Isosorbit-Dinitrate Atropin
- In hospital medication: ASA Isosorbit-Dinitrate Metoprolol Ca-antagonist
- Medication after discharge: ASA Metoprolol Ca-antagonist
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