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- PTB Diagnostic ECG
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- Record:
Record s0102lre-patient032
- ECG date: 17/01/1991
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Diagnose
- Reason for admission: Myocardial infarction
- Acute infarction (localization): antero-septal
- Former infarction (localization): no
- Additional diagnoses: Arterial Hypertension
- Smoker: no
- Number of coronary vessels involved: 3
- Infarction date (acute): 17/01/1991
- Previous infarction (1) date: n/a
- Previous infarction (2) date: n/a
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Hemodynamics
- Catheterization date: 24/01/1991
- Ventriculography: Akinesia antero-lateral wall, apex and adjacent inferior wall
- Chest X-ray: Heart size upper limit of norm, pulmonary venous congestion
- Peripheral blood Pressure (syst/diast): 110/70 mmHg
- Pulmonary artery pressure (at rest) (syst/diast): 43/21 cmH2O
- Pulmonary artery pressure (at rest) (mean): 31 cmH2O
- Pulmonary capillary wedge pressure (at rest): 25 cmH2O
- Cardiac output (at rest): 8,96 l/min
- Cardiac index (at rest): 4,31 l/min/sqrmBSA
- Stroke volume index (at rest): 47.9 ml/beat
- Pulmonary artery pressure (load) (syst/diast): 58/30 cmH2O
- Pulmonary artery pressure (load) (mean): 42 cmH2O
- Pulmonary capillary wedge pressure (load): 34 cmH2O
- Cardiac output (load): 10,4 l/min
- Cardiac index (load): 5 l/min/sqrmBSA
- Stroke volume index (load): 46,3 ml/beat
- Aorta (at rest) (syst/diast): n/a
- Aorta (at rest) mean: n/a
- Left coronary artery stenoses (RIVA): LCA 50%. RIVA 75%.
- Left coronary artery stenoses (RCX): Ramus marginalis sinister_1 >80%
- Right coronary artery stenoses (RCA): RCA 100%
- Echocardiography: n/a
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Therapy
- Infarction date: 17/01/1991
- Catheterization date: 24/01/1991
- Admission date: 17/01/1991
- Medication pre admission: Metoprolol
- Start lysis therapy (hh.mm): 07:53
- Lytic agent: Streptokinase
- Dosage (lytic agent): 1.5 Mio IE
- Additional medication: Nitrate Heparin ASA Metoprolol Ca-antagonist Paracetamol Cefalexin
- In hospital medication: ASA Metoprolol Ca-antagonist Isosorbit-Mononitrate
- Medication after discharge: Hydrochlorothiazide Metoprolol Isosorbit-Mononitrate
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