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- PTB Diagnostic ECG
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- Record:
Record s0122lre-patient029
- ECG date: 30/01/1991
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Diagnose
- Reason for admission: Myocardial infarction
- Acute infarction (localization): antero-septal
- Former infarction (localization): inferior
- Additional diagnoses: no
- Smoker: yes
- Number of coronary vessels involved: 2
- Infarction date (acute): 05/01/1991
- Previous infarction (1) date: 01/01/1983
- Previous infarction (2) date: n/a
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Hemodynamics
- Catheterization date: 14/01/1991
- Ventriculography: Akinesia antero-lateral, inferior wall and apex. Hypokinesia antero-basal wall
- Chest X-ray: normal
- Peripheral blood Pressure (syst/diast): 130/70 mmHg
- Pulmonary artery pressure (at rest) (syst/diast): 27/13 cmH2O
- Pulmonary artery pressure (at rest) (mean): 18 cmH2O
- Pulmonary capillary wedge pressure (at rest): 12 cmH2O
- Cardiac output (at rest): 7,65 l/min
- Cardiac index (at rest): 3,73 l/min/sqrmBSA
- Stroke volume index (at rest): 44.4 ml/beat
- Pulmonary artery pressure (load) (syst/diast): 59/29 cmH2O
- Pulmonary artery pressure (load) (mean): 43 cmH2O
- Pulmonary capillary wedge pressure (load): 39 cmH2O
- Cardiac output (load): 11 l/min
- Cardiac index (load): 5,37 l/min/sqrmBSA
- Stroke volume index (load): 42,6 ml/beat
- Aorta (at rest) (syst/diast): n/a
- Aorta (at rest) mean: n/a
- Left coronary artery stenoses (RIVA): RIVA proximal 90%.
- Left coronary artery stenoses (RCX): A downstream vessel of ramus marginalis sinister_1 50%
- Right coronary artery stenoses (RCA): Proximal to ramus ventricularis dexter 100%
- Echocardiography: n/a
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Therapy
- Infarction date: 05/01/1991
- Catheterization date: 14/01/1991
- Admission date: 05/01/1991
- Medication pre admission: Metoprolol Mefruside
- Start lysis therapy (hh.mm): 16:10
- Lytic agent: Urokinase
- Dosage (lytic agent): 1.5 Mio IE
- Additional medication: Heparin ASA Isosorbit-Mononitrate Colfarit
- In hospital medication: Isosorbit-Mononitrate ASA Acetylcystein Cephalosporin
- Medication after discharge: Isosorbit-Mononitrate Ca-antagonist Heparin
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