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- PTB Diagnostic ECG
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- Record:
Record s0197lre-patient054
- ECG date: 20/06/1991
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Diagnose
- Reason for admission: Myocardial infarction
- Acute infarction (localization): infero-lateral
- Former infarction (localization): no
- Additional diagnoses: no
- Smoker: no
- Number of coronary vessels involved: 1
- Infarction date (acute): 10/06/1991
- Previous infarction (1) date: n/a
- Previous infarction (2) date: n/a
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Hemodynamics
- Catheterization date: 25/10/1991
- Ventriculography: Hypokinesia infero-basal and posterior wall segments
- Chest X-ray: Left ventricular enlargement
- Peripheral blood Pressure (syst/diast): 150/90 mmHg
- Pulmonary artery pressure (at rest) (syst/diast): 25/8 cmH2O
- Pulmonary artery pressure (at rest) (mean): 13 cmH2O
- Pulmonary capillary wedge pressure (at rest): 8 cmH2O
- Cardiac output (at rest): 6,14 l/min
- Cardiac index (at rest): 3 l/min/sqrmBSA
- Stroke volume index (at rest): 45.4 ml/beat
- Pulmonary artery pressure (load) (syst/diast): 46/122 cmH2O
- Pulmonary artery pressure (load) (mean): 34 cmH2O
- Pulmonary capillary wedge pressure (load): 24 cmH2O
- Cardiac output (load): 13,89 l/min
- Cardiac index (load): 6,78 l/min/sqrmBSA
- Stroke volume index (load): 51,3 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 distal to ramus ventricularis dexter 70%
- Echocardiography: n/a
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Therapy
- Infarction date: 10/06/1991
- Catheterization date: 25/10/1991
- Admission date: 10/06/1991
- Medication pre admission: -
- Start lysis therapy (hh.mm): 09:30
- Lytic agent: Streptokinase
- Dosage (lytic agent): 1.5 Mio IE
- Additional medication: Nitrate Triflupromazin ASA Heparin Furosemide Atropin
- In hospital medication: Metprolol Amiloride+Chlorothiazide
- Medication after discharge: Metprolol ASA
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