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- Record:
Record s0231lre-patient066
- ECG date: 23/09/1991
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Diagnose
- Reason for admission: Myocardial infarction
- Acute infarction (localization): inferior
- Former infarction (localization): no
- Additional diagnoses: no
- Smoker: no
- Number of coronary vessels involved: 1
- Infarction date (acute): 17/09/1991
- Previous infarction (1) date: n/a
- Previous infarction (2) date: n/a
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Hemodynamics
- Catheterization date: 24/09/1991
- Ventriculography: Hypokinesia/Akinesia inferior wall, Hypokinesia posterior wall
- Chest X-ray: normal
- Peripheral blood Pressure (syst/diast): 120/60 mmHg
- Pulmonary artery pressure (at rest) (syst/diast): 26/10 cmH2O
- Pulmonary artery pressure (at rest) (mean): 16 cmH2O
- Pulmonary capillary wedge pressure (at rest): 8 cmH2O
- Cardiac output (at rest): 5,78 l/min
- Cardiac index (at rest): 2,83 l/min/sqrmBSA
- Stroke volume index (at rest): 39.4 ml/beat
- Pulmonary artery pressure (load) (syst/diast): 41/14 cmH2O
- Pulmonary artery pressure (load) (mean): 27 cmH2O
- Pulmonary capillary wedge pressure (load): 16 cmH2O
- Cardiac output (load): 13,46 l/min
- Cardiac index (load): 6,6 l/min/sqrmBSA
- Stroke volume index (load): 61 ml/beat
- Aorta (at rest) (syst/diast): n/a
- Aorta (at rest) mean: n/a
- Left coronary artery stenoses (RIVA): RIVA roximal 50%, Ramus diagonalis_1 30%,
- Left coronary artery stenoses (RCX): Ramus marginalis of RCX 80% at origin
- Right coronary artery stenoses (RCA): RCA proximal 100%
- Echocardiography: n/a
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Therapy
- Infarction date: 17/09/1991
- Catheterization date: 24/09/1991
- Admission date: 17/09/1991
- Medication pre admission: -
- Start lysis therapy (hh.mm): 11:30
- Lytic agent: Streptokinase
- Dosage (lytic agent): 1.5 Mio IE
- Additional medication: Heparin ASA Isosorbit-Mononitrate Atropin
- In hospital medication: Isosorbit-Mononitrate ASA Ca-antagonist
- Medication after discharge: Nitrate Heparin Diazepam
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