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- PTB Diagnostic ECG
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- Record:
Record s0132lre-patient041
- ECG date: 25/02/1991
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Diagnose
- Reason for admission: Myocardial infarction
- Acute infarction (localization): infero-lateral
- Former infarction (localization): postero-lateral
- Additional diagnoses: Gastric ulcers, Hyperglykemia
- Smoker: no
- Number of coronary vessels involved: 2
- Infarction date (acute): 24/02/1991
- Previous infarction (1) date: 01/01/1986
- Previous infarction (2) date: n/a
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Hemodynamics
- Catheterization date: 11/03/1991
- Ventriculography: Hypokinesia/Akinesia infero-lateralen wall and apex
- Chest X-ray: normal
- Peripheral blood Pressure (syst/diast): n/a
- Pulmonary artery pressure (at rest) (syst/diast): 21/9 cmH2O
- Pulmonary artery pressure (at rest) (mean): 13 cmH2O
- Pulmonary capillary wedge pressure (at rest): 7 cmH2O
- Cardiac output (at rest): 4,73 l/min
- Cardiac index (at rest): 2,6 l/min/sqrmBSA
- Stroke volume index (at rest): 33.3 ml/beat
- Pulmonary artery pressure (load) (syst/diast): 49/22 cmH2O
- Pulmonary artery pressure (load) (mean): 37 cmH2O
- Pulmonary capillary wedge pressure (load): 29 cmH2O
- Cardiac output (load): 7,84 l/min
- Cardiac index (load): 4,31 l/min/sqrmBSA
- Stroke volume index (load): 39,9 ml/beat
- Aorta (at rest) (syst/diast): n/a
- Aorta (at rest) mean: n/a
- Left coronary artery stenoses (RIVA): No stenoses
- Left coronary artery stenoses (RCX): A vessel originating from ramus marginalis sinister 70%
- Right coronary artery stenoses (RCA): RCA proximal to ramus ventricularis dexter 30%. RCA peripheral 100%. Ramus postero-lateralis 100% at origin
- Echocardiography: n/a
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Therapy
- Infarction date: 24/02/1991
- Catheterization date: 11/03/1991
- Admission date: 24/02/1991
- Medication pre admission: Isosorbit-Dinitrate Ca-antagonist
- Start lysis therapy (hh.mm): 15:30
- Lytic agent: Streptokinase
- Dosage (lytic agent): 1.5 Mio IE
- Additional medication: Nitrate Heparin ASA
- In hospital medication: ASA Isosorbit-Mononitrate Ca-antagonist Amiloride+Chlorothiazide
- Medication after discharge: ASA Isosorbit-Mononitrate Ca-antagonist
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