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- PTB Diagnostic ECG
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- Record:
Record s0161lre-patient046
- ECG date: 19/04/1991
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Diagnose
- Reason for admission: Myocardial infarction
- Acute infarction (localization): antero-septal
- Former infarction (localization): anterior
- Additional diagnoses: Postop. Thyroidectomy
- Smoker: yes
- Number of coronary vessels involved: 1
- Infarction date (acute): 17/04/1991
- Previous infarction (1) date: 01/01/1988
- Previous infarction (2) date: n/a
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Hemodynamics
- Catheterization date: 03/05/1991
- Ventriculography: Dilated left ventricle, Akinesia antero-lateral wall, Dyskinesia apex
- Chest X-ray: Heart size upper limit of norm
- Peripheral blood Pressure (syst/diast): 110/80 mmHg
- Pulmonary artery pressure (at rest) (syst/diast): n/a
- Pulmonary artery pressure (at rest) (mean): n/a
- Pulmonary capillary wedge pressure (at rest): n/a
- Cardiac output (at rest): n/a
- Cardiac index (at rest): n/a
- Stroke volume index (at rest): n/a
- Pulmonary artery pressure (load) (syst/diast): n/a
- Pulmonary artery pressure (load) (mean): n/a
- Pulmonary capillary wedge pressure (load): n/a
- Cardiac output (load): n/a
- Cardiac index (load): n/a
- Stroke volume index (load): n/a
- Aorta (at rest) (syst/diast): n/a
- Aorta (at rest) mean: n/a
- Left coronary artery stenoses (RIVA): RIVA proximal to ramus diagonalis_1 50-70%
- Left coronary artery stenoses (RCX): No stenoses
- Right coronary artery stenoses (RCA): No stenoses
- Echocardiography: n/a
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Therapy
- Infarction date: 17/04/1991
- Catheterization date: 03/05/1991
- Admission date: 17/04/1991
- Medication pre admission: Diazepam L-Thyroxin Metoprolol
- Start lysis therapy (hh.mm): 05:20
- Lytic agent: Streptokinase
- Dosage (lytic agent): 1.5 Mio IE
- Additional medication: Heparin Isosorbit-Mononitrate ASA Digitoxin Captopril Amiloride+Chlorothiazide L-Thyrox
- In hospital medication: Digitoxin Captopril Isosorbit-Dinitrate ASA L-Thyroxin Furosemide Metoprolol
- Medication after discharge: Digitoxin Captopril Isosorbit-Dinitrate ASA L-Thyroxin
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