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  • Record:
Record s0138lre-patient041
  • Age: 65
  • Sex: Male
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    Additional data

    • ECG date: 06/03/1991

    • 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

    • 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

    • 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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