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  • Record:
Record s0091lre-patient025
  • Age: 76
  • Sex: Male
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    Additional data

    • ECG date: 07/01/1991

    • Diagnose

      • Reason for admission: Myocardial infarction
      • Acute infarction (localization): antero-septal
      • Former infarction (localization): no
      • Additional diagnoses: Diabetes mellitus, Arterial hypertension
      • Smoker: no
      • Number of coronary vessels involved: 2
      • Infarction date (acute): 30/12/1990
      • Previous infarction (1) date: n/a
      • Previous infarction (2) date: n/a

    • Hemodynamics

      • Catheterization date: 10/01/1991
      • Ventriculography: Hypokinesia/Akinesia antero-lateral wall and apex
      • Chest X-ray: Heart size upper limit of norm, pulmonary emphysema
      • Peripheral blood Pressure (syst/diast): 140/80 mmHg
      • Pulmonary artery pressure (at rest) (syst/diast): 34/14 cmH2O
      • Pulmonary artery pressure (at rest) (mean): 23 cmH2O
      • Pulmonary capillary wedge pressure (at rest): 15 cmH2O
      • Cardiac output (at rest): 4,14 l/min
      • Cardiac index (at rest): 2,34 l/min/sqrmBSA
      • Stroke volume index (at rest): 28.9 ml/beat
      • Pulmonary artery pressure (load) (syst/diast): 55/20 cmH2O
      • Pulmonary artery pressure (load) (mean): 38 cmH2O
      • Pulmonary capillary wedge pressure (load): 33 cmH2O
      • Cardiac output (load): 7,49 l/min
      • Cardiac index (load): 4,23 l/min/sqrmBSA
      • Stroke volume index (load): 39,2 ml/beat
      • Aorta (at rest) (syst/diast): n/a
      • Aorta (at rest) mean: n/a
      • Left coronary artery stenoses (RIVA): LCA 50%, RIVA proximal to ramus diagonalis_2 70%
      • Left coronary artery stenoses (RCX): No stenoses
      • Right coronary artery stenoses (RCA): No stenoses
      • Echocardiography: n/a

    • Therapy

      • Infarction date: 30/12/1990
      • Catheterization date: 10/01/1991
      • Admission date: 30/12/1990
      • Medication pre admission: Amiloride+Hydrochlorothiazide Indapamid
      • Start lysis therapy (hh.mm): 23:45
      • Lytic agent: Urokinase
      • Dosage (lytic agent): 3 Mio IE
      • Additional medication: Heparin ASA Isosorbit-Mononitrate Digitoxin
      • In hospital medication: ASA Isosorbit-Dinitrate Ca-antagonist Digitoxin Isosorbit-Mononitrate Metoprolol
      • Medication after discharge: Digitoxin Ca-antagonist Isosorbit-Dinitrate Ramipril ASA Lactulose
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