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- PTB Diagnostic ECG
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- Record:
Record s0191lre-patient053
- ECG date: 10/06/1991
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Diagnose
- Reason for admission: Myocardial infarction
- Acute infarction (localization): antero-septal
- Former infarction (localization): no
- Additional diagnoses: Obesity, Ventricular fibrillation
- Smoker: yes
- Number of coronary vessels involved: 1
- Infarction date (acute): 03/06/1991
- Previous infarction (1) date: n/a
- Previous infarction (2) date: n/a
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Hemodynamics
- Catheterization date: 18/06/1991
- Ventriculography: LV-hypertrophie, Akinesia/Dyskinesia apex and adjacent wall segments
- Chest X-ray: normal
- Peripheral blood Pressure (syst/diast): 110/60 mmHg
- Pulmonary artery pressure (at rest) (syst/diast): 20/10 cmH2O
- Pulmonary artery pressure (at rest) (mean): 13 cmH2O
- Pulmonary capillary wedge pressure (at rest): 4 cmH2O
- Cardiac output (at rest): 4,19 l/min
- Cardiac index (at rest): 2,04 l/min/sqrmBSA
- Stroke volume index (at rest): 34.1 ml/beat
- Pulmonary artery pressure (load) (syst/diast): 54/28 cmH2O
- Pulmonary artery pressure (load) (mean): 37 cmH2O
- Pulmonary capillary wedge pressure (load): 21 cmH2O
- Cardiac output (load): 8,72 l/min
- Cardiac index (load): 4,25 l/min/sqrmBSA
- Stroke volume index (load): 39,4 ml/beat
- Aorta (at rest) (syst/diast): n/a
- Aorta (at rest) mean: n/a
- Left coronary artery stenoses (RIVA): RIVA 50% at origin.
- Left coronary artery stenoses (RCX): Ramus marginalis sinister_1 30% at origin. Ramus marginalis sinister_2 50% close to origin.
- Right coronary artery stenoses (RCA): No stenoses
- Echocardiography: n/a
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Therapy
- Infarction date: 03/06/1991
- Catheterization date: 18/06/1991
- Admission date: 03/06/1991
- Medication pre admission: Ca-antagonist
- Start lysis therapy (hh.mm): 11:00
- Lytic agent: Streptokinase
- Dosage (lytic agent): 1.5 Mio IE
- Additional medication: Nitrate Heparin Metoprolol ASA
- In hospital medication: ASA Metoprolol
- Medication after discharge: ASA Metoprolol
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