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  • Record:
Record s0092lre-patient029
  • Age: 49
  • 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): inferior
      • Additional diagnoses: no
      • Smoker: yes
      • Number of coronary vessels involved: 2
      • Infarction date (acute): 05/01/1991
      • Previous infarction (1) date: 01/01/1983
      • Previous infarction (2) date: n/a

    • Hemodynamics

      • Catheterization date: 14/01/1991
      • Ventriculography: Akinesia antero-lateral, inferior wall and apex. Hypokinesia antero-basal wall
      • Chest X-ray: normal
      • Peripheral blood Pressure (syst/diast): 130/70 mmHg
      • Pulmonary artery pressure (at rest) (syst/diast): 27/13 cmH2O
      • Pulmonary artery pressure (at rest) (mean): 18 cmH2O
      • Pulmonary capillary wedge pressure (at rest): 12 cmH2O
      • Cardiac output (at rest): 7,65 l/min
      • Cardiac index (at rest): 3,73 l/min/sqrmBSA
      • Stroke volume index (at rest): 44.4 ml/beat
      • Pulmonary artery pressure (load) (syst/diast): 59/29 cmH2O
      • Pulmonary artery pressure (load) (mean): 43 cmH2O
      • Pulmonary capillary wedge pressure (load): 39 cmH2O
      • Cardiac output (load): 11 l/min
      • Cardiac index (load): 5,37 l/min/sqrmBSA
      • Stroke volume index (load): 42,6 ml/beat
      • Aorta (at rest) (syst/diast): n/a
      • Aorta (at rest) mean: n/a
      • Left coronary artery stenoses (RIVA): RIVA proximal 90%.
      • Left coronary artery stenoses (RCX): A downstream vessel of ramus marginalis sinister_1 50%
      • Right coronary artery stenoses (RCA): Proximal to ramus ventricularis dexter 100%
      • Echocardiography: n/a

    • Therapy

      • Infarction date: 05/01/1991
      • Catheterization date: 14/01/1991
      • Admission date: 05/01/1991
      • Medication pre admission: Metoprolol Mefruside
      • Start lysis therapy (hh.mm): 16:10
      • Lytic agent: Urokinase
      • Dosage (lytic agent): 1.5 Mio IE
      • Additional medication: Heparin ASA Isosorbit-Mononitrate Colfarit
      • In hospital medication: Isosorbit-Mononitrate ASA Acetylcystein Cephalosporin
      • Medication after discharge: Isosorbit-Mononitrate Ca-antagonist Heparin
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