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- Record:
Record s0214lre-patient063
- ECG date: 06/09/1991
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Diagnose
- Reason for admission: Myocardial infarction
- Acute infarction (localization): antero-lateral
- Former infarction (localization): no
- Additional diagnoses: Arterial hypertension, Kidney cysts
- Smoker: yes
- Number of coronary vessels involved: 2
- Infarction date (acute): 23/08/1991
- Previous infarction (1) date: n/a
- Previous infarction (2) date: n/a
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Hemodynamics
- Catheterization date: 02/09/1991
- Ventriculography: Akinesia/Dyskinesie apex
- Chest X-ray: normal
- Peripheral blood Pressure (syst/diast): 160/80 mmHg
- Pulmonary artery pressure (at rest) (syst/diast): 45/18 cmH2O
- Pulmonary artery pressure (at rest) (mean): 27 cmH2O
- Pulmonary capillary wedge pressure (at rest): 16 cmH2O
- Cardiac output (at rest): 5,78 l/min
- Cardiac index (at rest): 2,91 l/min/sqrmBSA
- Stroke volume index (at rest): 34.5 ml/beat
- Pulmonary artery pressure (load) (syst/diast): 58/27 cmH2O
- Pulmonary artery pressure (load) (mean): 38 cmH2O
- Pulmonary capillary wedge pressure (load): 26 cmH2O
- Cardiac output (load): 9,19 l/min
- Cardiac index (load): 4,62 l/min/sqrmBSA
- Stroke volume index (load): 45,3 ml/beat
- Aorta (at rest) (syst/diast): 170/80 cmH2O
- Aorta (at rest) mean: 110 cmH2O
- Left coronary artery stenoses (RIVA): RIVA distal to ramus diagonalis_1 80%, 1 cm downstream 100%. Small ramus diagonalis_2 75% at origin.
- Left coronary artery stenoses (RCX): No stenoses
- Right coronary artery stenoses (RCA): Distal to ramus marginalis dexter 50%
- Echocardiography: n/a
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Therapy
- Infarction date: 23/08/1991
- Catheterization date: 02/09/1991
- Admission date: 23/08/1991
- Medication pre admission: ASA Digitoxin Ca-antagonist Bisoprolol Isosorbit-Mononitrate
- Start lysis therapy (hh.mm): 10:15
- Lytic agent: Gamma-TPA
- Dosage (lytic agent): 100 mg
- Additional medication: Nitrate Heparin ASA Metoprolol Digitoxin
- In hospital medication: ASA Digitoxin Metoprolol Isosorbit-Mononitrate Molsidomin Ca-antagonist Anti-Phosphat
- Medication after discharge: ASA Isosorbit-Mononitrate Metprolol Molsidomin Digitoxin Anti-Phosphat
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