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- PTB Diagnostic ECG
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- Record:
Record s0110lre-patient035
- ECG date: 23/01/1991
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Diagnose
- Reason for admission: Myocardial infarction
- Acute infarction (localization): inferior
- Former infarction (localization): no
- Additional diagnoses: Arterial hypertension, Hypercholesterinemia
- Smoker: no
- Number of coronary vessels involved: 2
- Infarction date (acute): 23/01/1991
- Previous infarction (1) date: n/a
- Previous infarction (2) date: n/a
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Hemodynamics
- Catheterization date: 30/01/1991
- Ventriculography: Hypokinesia antero-lateral wall
- Chest X-ray: normal
- Peripheral blood Pressure (syst/diast): 130/80 mmHg
- Pulmonary artery pressure (at rest) (syst/diast): 10/1 cmH2O
- Pulmonary artery pressure (at rest) (mean): 6 cmH2O
- Pulmonary capillary wedge pressure (at rest): 3 cmH2O
- Cardiac output (at rest): 7,5 l/min
- Cardiac index (at rest): 3,49 l/min/sqrmBSA
- Stroke volume index (at rest): 43.6 ml/beat
- Pulmonary artery pressure (load) (syst/diast): 27/13 cmH2O
- Pulmonary artery pressure (load) (mean): 20 cmH2O
- Pulmonary capillary wedge pressure (load): 12 cmH2O
- Cardiac output (load): 13,6 l/min
- Cardiac index (load): 6,33 l/min/sqrmBSA
- Stroke volume index (load): 53,6 ml/beat
- Aorta (at rest) (syst/diast): n/a
- Aorta (at rest) mean: n/a
- Left coronary artery stenoses (RIVA): LCA 60%.
- Left coronary artery stenoses (RCX): Ramus marginalis sinister at origin from RCX 70%
- Right coronary artery stenoses (RCA): Ramus marginalis dexter_1 90% at origin. RCA distal to ramus marginalis dexter 80%
- Echocardiography: n/a
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Therapy
- Infarction date: 23/01/1991
- Catheterization date: 30/01/1991
- Admission date: 23/01/1991
- Medication pre admission: -
- Start lysis therapy (hh.mm): 05:00
- Lytic agent: Streptokinase
- Dosage (lytic agent): 1.5 Mio IE
- Additional medication: Isosorbit-Dinitrate ASA Ca-antagonist Molsidomin Oxazepam
- In hospital medication: ASA
- Medication after discharge: ISDN Molsidomin Ca-antagonist Metoprolol