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- PTB Diagnostic ECG
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- Record:
Record s0400lre-patient101
- ECG date: 11/01/1993
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Diagnose
- Reason for admission: Myocardial infarction
- Acute infarction (localization): antero-septal
- Former infarction (localization): inferior
- Additional diagnoses: Diabetes mellitus, Hyperlipoproteinemia Type IIa
- Smoker: yes
- Number of coronary vessels involved: 2
- Infarction date (acute): 10/01/1993
- Previous infarction (1) date: 01/01/1987
- Previous infarction (2) date: n/a
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Hemodynamics
- Catheterization date: 28/01/1993
- Ventriculography: Akinesia inferior wall, Hypokinesia antero-lateral wall and apex
- Chest X-ray: Enlarged left heart, pulmonary edema
- 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): 70/39 cmH2O
- Aorta (at rest) mean: 50 cmH2O
- Left coronary artery stenoses (RIVA): RIVA 70% at origin.
- Left coronary artery stenoses (RCX): Ramus marginalis sinister 40%
- Right coronary artery stenoses (RCA): RCA 100% at origin of ramus marginalis dexter
- Echocardiography: n/a
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Therapy
- Infarction date: 10/01/1993
- Catheterization date: 28/01/1993
- Admission date: 11/01/1993
- Medication pre admission: Pindolol
- Start lysis therapy (hh.mm): 04:30
- Lytic agent: Streptokinase
- Dosage (lytic agent): 1.5 Mio IE
- Additional medication: Nitrate Heparin Isosorbit-Dinitrate Molsidomin Furosemide Metoprolol Captopril Digitoxin Ca-antagonist
- In hospital medication: Digitoxin Captopril Isosorbit-Dinitrate Triamteren+Hydrochlorothiazide Furosemide
- Medication after discharge: Digitoxin Captopril Isosorbit-Dinitrate Indomethacin Amiloride+Chlorothiazide
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