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- Record:
Record s0278lre-patient043
- ECG date: 23/03/1992
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Diagnose
- Reason for admission: Myocardial infarction
- Acute infarction (localization): lateral
- Former infarction (localization): no
- Additional diagnoses: Hyperlipoproteinemia Type IIa, Arterial hypertension, Ventricular fibrillation
- Smoker: yes
- Number of coronary vessels involved: 1
- Infarction date (acute): 08/03/1991
- Previous infarction (1) date: n/a
- Previous infarction (2) date: n/a
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Hemodynamics
- Catheterization date: 15/03/1991
- Ventriculography: normal
- Chest X-ray: normal
- Peripheral blood Pressure (syst/diast): 100/75 mmHg
- Pulmonary artery pressure (at rest) (syst/diast): 19/6 cmH2O
- Pulmonary artery pressure (at rest) (mean): 12 cmH2O
- Pulmonary capillary wedge pressure (at rest): 7 cmH2O
- Cardiac output (at rest): 4,03 l/min
- Cardiac index (at rest): 2,5 l/min/sqrmBSA
- Stroke volume index (at rest): 37.9 ml/beat
- Pulmonary artery pressure (load) (syst/diast): 45/20 cmH2O
- Pulmonary artery pressure (load) (mean): 31 cmH2O
- Pulmonary capillary wedge pressure (load): 22 cmH2O
- Cardiac output (load): 8 l/min
- Cardiac index (load): 4,88 l/min/sqrmBSA
- Stroke volume index (load): 38,7 ml/beat
- Aorta (at rest) (syst/diast): n/a
- Aorta (at rest) mean: n/a
- Left coronary artery stenoses (RIVA): No stenoses
- Left coronary artery stenoses (RCX): RCX distal to ramus marginalis sinister >70%
- Right coronary artery stenoses (RCA): No stenoses
- Echocardiography: n/a
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Therapy
- Infarction date: 08/03/1991
- Catheterization date: 15/03/1991
- Admission date: 08/03/1991
- Medication pre admission: Estrogen ASA Isosorbit-Mononitrate Diazepam
- Start lysis therapy (hh.mm): 01:15
- Lytic agent: Urokinase
- Dosage (lytic agent): 3 Mio IE
- Additional medication: Isosorbit-Mononitrate ASA Metoprolol
- In hospital medication: Isosorbit-Mononitrate ASA Metoprolol
- Medication after discharge: Isosorbit-Mononitrate ASA Metoprolol Colestyramin
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