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- PTB Diagnostic ECG
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- Record:
Record s0227lre-patient067
- ECG date: 18/09/1991
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Diagnose
- Reason for admission: Myocardial infarction
- Acute infarction (localization): infero-lateral
- Former infarction (localization): anterior
- Additional diagnoses: Arterial hypertension, Diabetes mellitus
- Smoker: yes
- Number of coronary vessels involved: 3
- Infarction date (acute): 17/09/1991
- Previous infarction (1) date: 01/01/1984
- Previous infarction (2) date: n/a
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Hemodynamics
- Catheterization date: 20/09/1991
- Ventriculography: Hypokinesia antero-lateral and posterior wall
- Chest X-ray: normal
- Peripheral blood Pressure (syst/diast): 120/60 mmHg
- Pulmonary artery pressure (at rest) (syst/diast): n/a
- Pulmonary artery pressure (at rest) (mean): n/a
- Pulmonary capillary wedge pressure (at rest): n/a
- Cardiac output (at rest): n/a
- Cardiac index (at rest): n/a
- Stroke volume index (at rest): n/a
- Pulmonary artery pressure (load) (syst/diast): n/a
- Pulmonary artery pressure (load) (mean): n/a
- Pulmonary capillary wedge pressure (load): n/a
- Cardiac output (load): n/a
- Cardiac index (load): n/a
- Stroke volume index (load): n/a
- Aorta (at rest) (syst/diast): n/a
- Aorta (at rest) mean: n/a
- Left coronary artery stenoses (RIVA): RIVA at origin 50%, distal to a big ramus diagonalis <50%, distal to the big ramus diagonalis 70%
- Left coronary artery stenoses (RCX): Ramus marginalis_2 90% at origin from RCX. RCX 90% distal to the origin of ramus postero-lateralis
- Right coronary artery stenoses (RCA): Ramus marginalis dexter 90%
- Echocardiography: n/a
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Therapy
- Infarction date: 17/09/1991
- Catheterization date: 20/09/1991
- Admission date: 17/09/1991
- Medication pre admission: -
- Start lysis therapy (hh.mm): 05:50
- Lytic agent: Streptokinase
- Dosage (lytic agent): 1.5 Mio IE
- Additional medication: Nitrate Heparin ASA Metoprolol
- In hospital medication: ASA Metoprolol Isosorbit-Mononitrate Ca-antagonist Glibenclamide Isosorbit-Mononitrate
- Medication after discharge: ASA Isosorbit-Dinitrate Metoprolol Ca-antagonist Glibenclamide
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