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- PTB Diagnostic ECG
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- Record:
Record s0101lre-patient005
- ECG date: 17/01/1991
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Diagnose
- Reason for admission: Myocardial infarction
- Acute infarction (localization): anterior
- Former infarction (localization): no
- Additional diagnoses: Skoliosis
- Smoker: no
- Number of coronary vessels involved: 2
- Infarction date (acute): 23/10/1990
- Previous infarction (1) date: n/a
- Previous infarction (2) date: n/a
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Hemodynamics
- Catheterization date: 30/10/1990
- Ventriculography: Akinesia antero-lateral and infero-apical wall
- Chest X-ray: normal
- Peripheral blood Pressure (syst/diast): 140/70 mmHg
- Pulmonary artery pressure (at rest) (syst/diast): 27/14 cmH2O
- Pulmonary artery pressure (at rest) (mean): 22 cmH2O
- Pulmonary capillary wedge pressure (at rest): 18 cmH2O
- Cardiac output (at rest): 4,34 l/min
- Cardiac index (at rest): 2,47 l/min/sqrmBSA
- Stroke volume index (at rest): 26.5 ml/beat
- Pulmonary artery pressure (load) (syst/diast): 52/32 cmH2O
- Pulmonary artery pressure (load) (mean): 43 cmH2O
- Pulmonary capillary wedge pressure (load): 35 cmH2O
- Cardiac output (load): 6,1 l/min
- Cardiac index (load): 3,47 l/min/sqrmBSA
- Stroke volume index (load): 29,9 ml/beat
- Aorta (at rest) (syst/diast): n/a
- Aorta (at rest) mean: n/a
- Left coronary artery stenoses (RIVA): RIVA 100% proximal to ramus diagonalis_1, Ramus marginalis sinister_1 80%, Ramus intermedius 90%
- Left coronary artery stenoses (RCX): No stenoses
- Right coronary artery stenoses (RCA): No stenoses
- Echocardiography: n/a
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Therapy
- Infarction date: 23/10/1990
- Catheterization date: 30/10/1990
- Admission date: 23/10/1990
- Medication pre admission: Naftidrofurylhydrogenoxalate Ca-antagonist
- Start lysis therapy (hh.mm): 20:30
- Lytic agent: Gamma-TPA
- Dosage (lytic agent): 30 mg
- Additional medication: ASA Ca-antagonist Amiloride+Chlorothiazide Triflupromazin Nitrate
- In hospital medication: Isosorbit-Mononitrate Captopril Isosorbit-Dinitrate Rhythmonorm
- Medication after discharge: Isosorbit-Dinitrate Captopril Propafenone ASA
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