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- PTB Diagnostic ECG
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- Record:
Record s0111lre-patient036
- ECG date: 24/01/1991
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Diagnose
- Reason for admission: Myocardial infarction
- Acute infarction (localization): antero-septal
- Former infarction (localization): no
- Additional diagnoses: no
- Smoker: no
- Number of coronary vessels involved: 3
- 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: 31/01/1991
- Ventriculography: Hypokinesia/Akinesia antero-lateral wall and apex
- Chest X-ray: normal
- Peripheral blood Pressure (syst/diast): 140/80 mmHg
- Pulmonary artery pressure (at rest) (syst/diast): 12/2 cmH2O
- Pulmonary artery pressure (at rest) (mean): 6 cmH2O
- Pulmonary capillary wedge pressure (at rest): 3 cmH2O
- Cardiac output (at rest): 5,6 l/min
- Cardiac index (at rest): 3,91 l/min/sqrmBSA
- Stroke volume index (at rest): 40.7 ml/beat
- Pulmonary artery pressure (load) (syst/diast): 45/24 cmH2O
- Pulmonary artery pressure (load) (mean): 34 cmH2O
- Pulmonary capillary wedge pressure (load): 28 cmH2O
- Cardiac output (load): 12,1 l/min
- Cardiac index (load): 6,51 l/min/sqrmBSA
- Stroke volume index (load): 56,6 ml/beat
- Aorta (at rest) (syst/diast): n/a
- Aorta (at rest) mean: n/a
- Left coronary artery stenoses (RIVA): RIVA proximal to ramus diagonalis_2 90%.
- Left coronary artery stenoses (RCX): RCX proximal 50 to 60%
- Right coronary artery stenoses (RCA): RCA close to origin of ramus ventricularis dexter 50%
- Echocardiography: n/a
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Therapy
- Infarction date: 23/01/1991
- Catheterization date: 31/01/1991
- Admission date: 23/01/1991
- Medication pre admission: -
- Start lysis therapy (hh.mm): 15:40
- Lytic agent: Streptokinase
- Dosage (lytic agent): 1.5 Mio IE
- Additional medication: Heparin ASA Isosorbit-Mononitrate
- In hospital medication: ASA Isosorbit-Mononitrate Cotrimoxazol
- Medication after discharge: Isosorbit-Mononitrate ASA
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