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- Record:
Record s0120lre-patient037
- ECG date: 30/01/1991
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Diagnose
- Reason for admission: Myocardial infarction
- Acute infarction (localization): anterior
- Former infarction (localization): no
- Additional diagnoses: Hyperlipoproteinemia Type IV
- Smoker: yes
- Number of coronary vessels involved: 1
- Infarction date (acute): 21/01/1991
- Previous infarction (1) date: n/a
- Previous infarction (2) date: n/a
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Hemodynamics
- Catheterization date: 28/01/1991
- Ventriculography: Akinesia antero-lateral wall and apex
- Chest X-ray: normal
- Peripheral blood Pressure (syst/diast): 120/90 mmHg
- Pulmonary artery pressure (at rest) (syst/diast): 19/7 cmH2O
- Pulmonary artery pressure (at rest) (mean): 10 cmH2O
- Pulmonary capillary wedge pressure (at rest): 6 cmH2O
- Cardiac output (at rest): 6,75 l/min
- Cardiac index (at rest): 3,51 l/min/sqrmBSA
- Stroke volume index (at rest): 53.4 ml/beat
- Pulmonary artery pressure (load) (syst/diast): 47/18 cmH2O
- Pulmonary artery pressure (load) (mean): 32 cmH2O
- Pulmonary capillary wedge pressure (load): 23 cmH2O
- Cardiac output (load): 18,9 l/min
- Cardiac index (load): 6,03 l/min/sqrmBSA
- Stroke volume index (load): 62,8 ml/beat
- Aorta (at rest) (syst/diast): n/a
- Aorta (at rest) mean: n/a
- Left coronary artery stenoses (RIVA): RIVA distal to ramus diagonalis_2 50-70%
- Left coronary artery stenoses (RCX): No stenoses
- Right coronary artery stenoses (RCA): No stenoses
- Echocardiography: n/a
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Therapy
- Infarction date: 21/01/1991
- Catheterization date: 28/01/1991
- Admission date: 21/01/1991
- Medication pre admission: -
- Start lysis therapy (hh.mm): 10:45
- Lytic agent: Urokinase
- Dosage (lytic agent): 3 Mio IE
- Additional medication: Heparin ASA Isosorbit-Dinitrate Atropin
- In hospital medication: ASA Isosorbit-Dinitrate
- Medication after discharge: ASA Isosorbit-Dinitrate
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