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- Record:
Record s0212lre-patient062
- ECG date: 06/09/1991
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Diagnose
- Reason for admission: Myocardial infarction
- Acute infarction (localization): antero-lateral
- Former infarction (localization): anterior
- Additional diagnoses: Arterial hypertension
- Smoker: no
- Number of coronary vessels involved: 1
- Infarction date (acute): 24/08/1991
- Previous infarction (1) date: 01/01/1978
- Previous infarction (2) date: n/a
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Hemodynamics
- Catheterization date: 02/09/1991
- Ventriculography: Hypokinesia antero-lateral wall, Akinesia apex
- Chest X-ray: normal
- Peripheral blood Pressure (syst/diast): 120/60 mmHg
- Pulmonary artery pressure (at rest) (syst/diast): 23/6 cmH2O
- Pulmonary artery pressure (at rest) (mean): 12 cmH2O
- Pulmonary capillary wedge pressure (at rest): 3 cmH2O
- Cardiac output (at rest): 3,56 l/min
- Cardiac index (at rest): 2,07 l/min/sqrmBSA
- Stroke volume index (at rest): 24.7 ml/beat
- Pulmonary artery pressure (load) (syst/diast): 55/13 cmH2O
- Pulmonary artery pressure (load) (mean): 29 cmH2O
- Pulmonary capillary wedge pressure (load): 9 cmH2O
- Cardiac output (load): 7,56 l/min
- Cardiac index (load): 4,45 l/min/sqrmBSA
- Stroke volume index (load): 39 ml/beat
- Aorta (at rest) (syst/diast): n/a
- Aorta (at rest) mean: n/a
- Left coronary artery stenoses (RIVA): RIVA proximal to ramus diagonalis_1 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: 24/08/1991
- Catheterization date: 02/09/1991
- Admission date: 24/08/1991
- Medication pre admission: Nitrate-spray Ca-antagonist
- Start lysis therapy (hh.mm): 20:05
- Lytic agent: Gamma-TPA
- Dosage (lytic agent): 100 mg
- Additional medication: Heparin ASA Isosorbit-Dinitrate Amiloride+Chlorothiazide Ca-antagonist Metoprolol Furosemide
- In hospital medication: ASA Isosorbit-Dinitrate Ca-antagonist Amiloride+Chlorothiazide
- Medication after discharge: ASA Isosorbit-Dinitrate Metprolol Amiloride+Chlorothiazide
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