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- PTB Diagnostic ECG
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- Record:
Record s0148lre-patient045
- ECG date: 08/04/1991
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Diagnose
- Reason for admission: Myocardial infarction
- Acute infarction (localization): infero-lateral
- Former infarction (localization): no
- Additional diagnoses: Hyperlipoproteinemia Type IV
- Smoker: no
- Number of coronary vessels involved: 1
- Infarction date (acute): 03/04/1991
- Previous infarction (1) date: n/a
- Previous infarction (2) date: n/a
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Hemodynamics
- Catheterization date: 10/04/1991
- Ventriculography: Akinesia inferior wall
- Chest X-ray: normal
- Peripheral blood Pressure (syst/diast): 150/100 mmHg
- Pulmonary artery pressure (at rest) (syst/diast): 23/8 cmH2O
- Pulmonary artery pressure (at rest) (mean): 14 cmH2O
- Pulmonary capillary wedge pressure (at rest): 11 cmH2O
- Cardiac output (at rest): 5,38 l/min
- Cardiac index (at rest): 2,71 l/min/sqrmBSA
- Stroke volume index (at rest): 37.6 ml/beat
- Pulmonary artery pressure (load) (syst/diast): 47/17 cmH2O
- Pulmonary artery pressure (load) (mean): 32 cmH2O
- Pulmonary capillary wedge pressure (load): 21 cmH2O
- Cardiac output (load): 9,43 l/min
- Cardiac index (load): 4,74 l/min/sqrmBSA
- Stroke volume index (load): 35,9 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): No stenoses
- Right coronary artery stenoses (RCA): RCA 50%
- Echocardiography: n/a
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Therapy
- Infarction date: 03/04/1991
- Catheterization date: 10/04/1991
- Admission date: 03/04/1991
- Medication pre admission: -
- Start lysis therapy (hh.mm): 11:10
- Lytic agent: Streptokinase
- Dosage (lytic agent): 1.5 Mio IE
- Additional medication: ASA Ca-antagonist Isosorbit-Mononitrate
- In hospital medication: Cephalosporin
- Medication after discharge: ASA Phenprocoumon Isosorbit-Mononitrate Ca-antagonist
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