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- PTB Diagnostic ECG
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- Record:
Record s0159lre-patient044
- ECG date: 19/04/1991
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Diagnose
- Reason for admission: Myocardial infarction
- Acute infarction (localization): anterior
- Former infarction (localization): anterior
- Additional diagnoses: Peripheral atherosclerosis
- Smoker: yes
- Number of coronary vessels involved: 3
- Infarction date (acute): 14/03/1991
- Previous infarction (1) date: 01/01/1986
- Previous infarction (2) date: n/a
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Hemodynamics
- Catheterization date: 26/03/1991
- Ventriculography: Akinesia anterior wall and apex
- Chest X-ray: normal
- Peripheral blood Pressure (syst/diast): 110/70 mmHg
- Pulmonary artery pressure (at rest) (syst/diast): 15/6 cmH2O
- Pulmonary artery pressure (at rest) (mean): 10 cmH2O
- Pulmonary capillary wedge pressure (at rest): 8 cmH2O
- Cardiac output (at rest): 2,74 l/min
- Cardiac index (at rest): 1,8 l/min/sqrmBSA
- Stroke volume index (at rest): 26.0 ml/beat
- Pulmonary artery pressure (load) (syst/diast): 41/18 cmH2O
- Pulmonary artery pressure (load) (mean): 29 cmH2O
- Pulmonary capillary wedge pressure (load): 23 cmH2O
- Cardiac output (load): 4,24 l/min
- Cardiac index (load): 2,79 l/min/sqrmBSA
- Stroke volume index (load): 31 ml/beat
- Aorta (at rest) (syst/diast): n/a
- Aorta (at rest) mean: n/a
- Left coronary artery stenoses (RIVA): RIVA 100%.
- Left coronary artery stenoses (RCX): RCX 70%
- Right coronary artery stenoses (RCA): RCA 100%
- Echocardiography: n/a
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Therapy
- Infarction date: 14/03/1991
- Catheterization date: 26/03/1991
- Admission date: 14/03/1991
- Medication pre admission: ASA Propafenon Naftidrofurylhydrogenoxalate Thioctacid
- Start lysis therapy (hh.mm): 05:37
- Lytic agent: Urokinase
- Dosage (lytic agent): 3 Mio IE
- Additional medication: Nitrate Heparin ASA Metoprolol Phenprocoumon
- In hospital medication: ASA Ca-antagonist Isosorbit-Dinitrate Metoprolol
- Medication after discharge: ASA Isosorbit-Dinitrate Metoprolol
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