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- PTB Diagnostic ECG
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- Record:
Record s0316lre-patient086
- ECG date: 31/07/1992
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Diagnose
- Reason for admission: Myocardial infarction
- Acute infarction (localization): infero-lateral
- Former infarction (localization): anterior (1), anterior (2)
- Additional diagnoses: Hyperlipoproteinemia Type IV b, Diabetes mellitus, Peripheral atherosclerosis, Arterial hypertension, Cerebral stroke, Colon cancer
- Smoker: yes
- Number of coronary vessels involved: 3
- Infarction date (acute): 31/07/1992
- Previous infarction (1) date: 01/01/1991
- Previous infarction (2) date: 01/01/1987
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Hemodynamics
- Catheterization date: 13/08/1992
- Ventriculography: Hypokinesia inferior
- Chest X-ray: Left ventricular enlargement, pulmonary venous congestion
- Peripheral blood Pressure (syst/diast): n/a
- 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): 174/69 cmH2O
- Aorta (at rest) mean: 108 cmH2O
- Left coronary artery stenoses (RIVA): RIVA proximal 70%, close to origin of ramus diagonalis_2 70%.
- Left coronary artery stenoses (RCX): RCX distal to ramus marginalis_1 70%
- Right coronary artery stenoses (RCA): RCA distal to ramus ventricularis dexter 70%
- Echocardiography: LV hypertrophy. Akinesia of the distal and apikal antero-septal wall and of the lateral wall
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Therapy
- Infarction date: 31/07/1992
- Catheterization date: 13/08/1992
- Admission date: 31/07/1992
- Medication pre admission: Ca-antagonist Captopril Isosorbit-Mononitrate Digoxin ASA Tilidin Nitrate-Spray
- Start lysis therapy (hh.mm): -
- Lytic agent: -
- Dosage (lytic agent): -
- Additional medication: Heparin Isosorbit-Dinitrate ret. Molsidomin Digoxin Ca-antagonist Furosemide Captopril ASA Glibenclamide Ranitidin Diazepam
- In hospital medication: Digoxin Captopril Isosorbit-Dinitrate Molsidomin ASA Furosemide Glibenclamide Diazepam
- Medication after discharge: Digoxin Metprolol Isosorbit-Dinitrate ASA Furosemide Glibenclamide Molsidomin Diazepam Lactulose
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