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- PTB Diagnostic ECG
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- Record:
Record s0315lre-patient080
- ECG date: 31/07/1992
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Diagnose
- Reason for admission: Myocardial infarction
- Acute infarction (localization): infero-postero-lateral
- Former infarction (localization): no
- Additional diagnoses: Hyperlipoproteinemia Type IIb, Ventricular fibrillation
- Smoker: yes
- Number of coronary vessels involved: 2
- Infarction date (acute): 24/02/1992
- Previous infarction (1) date: n/a
- Previous infarction (2) date: n/a
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Hemodynamics
- Catheterization date: 02/03/1992
- Ventriculography: Akinesia inferior and posterior wall
- Chest X-ray: normal
- Peripheral blood Pressure (syst/diast): 120/70 mmHg
- Pulmonary artery pressure (at rest) (syst/diast): 19/7 cmH2O
- Pulmonary artery pressure (at rest) (mean): 11 cmH2O
- Pulmonary capillary wedge pressure (at rest): 5 cmH2O
- Cardiac output (at rest): 6,1 l/min
- Cardiac index (at rest): 3,09 l/min/sqrmBSA
- Stroke volume index (at rest): 34.3 ml/beat
- Pulmonary artery pressure (load) (syst/diast): 35/14 cmH2O
- Pulmonary artery pressure (load) (mean): 25 cmH2O
- Pulmonary capillary wedge pressure (load): 14 cmH2O
- Cardiac output (load): 9,35 l/min
- Cardiac index (load): 4,72 l/min/sqrmBSA
- Stroke volume index (load): 47,1 ml/beat
- Aorta (at rest) (syst/diast): n/a
- Aorta (at rest) mean: n/a
- Left coronary artery stenoses (RIVA): RIVA at origin of ramus diagonalis_1 50%
- Left coronary artery stenoses (RCX): No stenoses
- Right coronary artery stenoses (RCA): RCA proximal 100%
- Echocardiography: n/a
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Therapy
- Infarction date: 24/02/1992
- Catheterization date: 02/03/1992
- Admission date: 24/02/1992
- Medication pre admission: ASA
- Start lysis therapy (hh.mm): 18:45
- Lytic agent: Streptokinase
- Dosage (lytic agent): 1.5 Mio IE
- Additional medication: Nitrate Heparin ASA Furosemide Magnesium Atropin
- In hospital medication: ASA Metprolol Colestyramin
- Medication after discharge: ASA Methoprolol Bezafibratone Lovastatin
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