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- Record:
Record s0270lre-patient081
- ECG date: 17/03/1992
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Diagnose
- Reason for admission: Myocardial infarction
- Acute infarction (localization): anterior
- Former infarction (localization): no
- Additional diagnoses: Arterial hypertension, Hyperlipoproteinemia Type IIa
- Smoker: yes
- Number of coronary vessels involved: 1
- Infarction date (acute): 04/03/1992
- Previous infarction (1) date: n/a
- Previous infarction (2) date: n/a
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Hemodynamics
- Catheterization date: 11/03/1992
- Ventriculography: Hypokinesia/Akinesia anterior wall and apex
- Chest X-ray: normal
- Peripheral blood Pressure (syst/diast): 100/60 mmHg
- Pulmonary artery pressure (at rest) (syst/diast): 16/8 cmH2O
- Pulmonary artery pressure (at rest) (mean): 12 cmH2O
- Pulmonary capillary wedge pressure (at rest): 8 cmH2O
- Cardiac output (at rest): 5,98 l/min
- Cardiac index (at rest): 3,35 l/min/sqrmBSA
- Stroke volume index (at rest): 46.0 ml/beat
- Pulmonary artery pressure (load) (syst/diast): 43/22 cmH2O
- Pulmonary artery pressure (load) (mean): 33 cmH2O
- Pulmonary capillary wedge pressure (load): 24 cmH2O
- Cardiac output (load): 8,75 l/min
- Cardiac index (load): 4,9 l/min/sqrmBSA
- Stroke volume index (load): 51 ml/beat
- Aorta (at rest) (syst/diast): n/a
- Aorta (at rest) mean: n/a
- Left coronary artery stenoses (RIVA): RIVA 80%
- Left coronary artery stenoses (RCX): No stenoses
- Right coronary artery stenoses (RCA): No stenoses
- Echocardiography: n/a
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Therapy
- Infarction date: 04/03/1992
- Catheterization date: 11/03/1992
- Admission date: 04/03/1992
- Medication pre admission: Ca-antagonist
- Start lysis therapy (hh.mm): 20:30
- Lytic agent: Streptokinase
- Dosage (lytic agent): 1.5 Mio IE
- Additional medication: Nitrate Ca-antagonist Amiloride+Chlorothiazide ASA
- In hospital medication: Isosorbit-Dinitrate Ca-antagonist ASA Amiloride+Chlorothiazide Colestyramin
- Medication after discharge: Molsidomin Ca-antagonist Amiloride+Chlorothiazide Colestyramin
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