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- PTB Diagnostic ECG
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- Record:
Record s0407lre-patient100
- ECG date: 15/01/1993
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Diagnose
- Reason for admission: Myocardial infarction
- Acute infarction (localization): inferior
- Former infarction (localization): infero-lateral
- Additional diagnoses: Arterial hypertension, Hyperlipemia, Peripheral atherosclerosis, Hyperuricemia, M. Basedow, Colon cancer
- Smoker: no
- Number of coronary vessels involved: 3
- Infarction date (acute): 08/01/1993
- Previous infarction (1) date: 01/01/1989
- Previous infarction (2) date: n/a
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Hemodynamics
- Catheterization date: 20/01/1993
- Ventriculography: Akinesia inferior, apikal und antero-lateral wall, Hypokinesia antero-basal wall segments
- Chest X-ray: Moderately enlarged heart
- 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): n/a
- Aorta (at rest) mean: n/a
- Left coronary artery stenoses (RIVA): RIVA distal to ramus diagonalis_2 100%
- Left coronary artery stenoses (RCX): RCX proximal 100%
- Right coronary artery stenoses (RCA): RCA distal to ramus ventricularis dexter 80%
- Echocardiography: Normal LV dimensions. Akinesia of the inferior wall, the distal interventricular septums, apex and distal anterior wall
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Therapy
- Infarction date: 08/01/1993
- Catheterization date: 20/01/1993
- Admission date: 08/01/1993
- Medication pre admission: -
- Start lysis therapy (hh.mm): 05:43
- Lytic agent: Streptokinase
- Dosage (lytic agent): 1.5 Mio IE
- Additional medication: Heparin ASA Digoxin Furosemide Verapamil Enalapril Molsidomin Isosorbit-Dinitrate Glibenclamide Diazepam
- In hospital medication: Digoxin ASA Isosorbit-Dinitrate Molsidomin Ca-antagonist Furosemide Enalapril Purin-antagonist Thiamazol
- Medication after discharge: Digoxin Furosemide Xipamid Isosorbit-Dinitrate Molsidomin Ca-antagonist Enalapril Purin-antagonist ASA Thiamazol
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