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  • Record:
Record s0165lre-patient032
  • Age: 49
  • Sex: Male
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    Additional data

    • ECG date: 25/04/1991

    • Diagnose

      • Reason for admission: Myocardial infarction
      • Acute infarction (localization): antero-septal
      • Former infarction (localization): no
      • Additional diagnoses: Arterial Hypertension
      • Smoker: no
      • Number of coronary vessels involved: 3
      • Infarction date (acute): 17/01/1991
      • Previous infarction (1) date: n/a
      • Previous infarction (2) date: n/a

    • Hemodynamics

      • Catheterization date: 24/01/1991
      • Ventriculography: Akinesia antero-lateral wall, apex and adjacent inferior wall
      • Chest X-ray: Heart size upper limit of norm, pulmonary venous congestion
      • Peripheral blood Pressure (syst/diast): 110/70 mmHg
      • Pulmonary artery pressure (at rest) (syst/diast): 43/21 cmH2O
      • Pulmonary artery pressure (at rest) (mean): 31 cmH2O
      • Pulmonary capillary wedge pressure (at rest): 25 cmH2O
      • Cardiac output (at rest): 8,96 l/min
      • Cardiac index (at rest): 4,31 l/min/sqrmBSA
      • Stroke volume index (at rest): 47.9 ml/beat
      • Pulmonary artery pressure (load) (syst/diast): 58/30 cmH2O
      • Pulmonary artery pressure (load) (mean): 42 cmH2O
      • Pulmonary capillary wedge pressure (load): 34 cmH2O
      • Cardiac output (load): 10,4 l/min
      • Cardiac index (load): 5 l/min/sqrmBSA
      • Stroke volume index (load): 46,3 ml/beat
      • Aorta (at rest) (syst/diast): n/a
      • Aorta (at rest) mean: n/a
      • Left coronary artery stenoses (RIVA): LCA 50%. RIVA 75%.
      • Left coronary artery stenoses (RCX): Ramus marginalis sinister_1 >80%
      • Right coronary artery stenoses (RCA): RCA 100%
      • Echocardiography: n/a

    • Therapy

      • Infarction date: 17/01/1991
      • Catheterization date: 24/01/1991
      • Admission date: 17/01/1991
      • Medication pre admission: Metoprolol
      • Start lysis therapy (hh.mm): 07:53
      • Lytic agent: Streptokinase
      • Dosage (lytic agent): 1.5 Mio IE
      • Additional medication: Nitrate Heparin ASA Metoprolol Ca-antagonist Paracetamol Cefalexin
      • In hospital medication: ASA Metoprolol Ca-antagonist Isosorbit-Mononitrate
      • Medication after discharge: Hydrochlorothiazide Metoprolol Isosorbit-Mononitrate
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