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- PTB Diagnostic ECG
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- Record:
Record s0067lre-patient011
- ECG date: 03/12/1990
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Diagnose
- Reason for admission: Myocardial infarction
- Acute infarction (localization): inferior
- Former infarction (localization): no
- Additional diagnoses: Arterial hypertension
- Smoker: no
- Number of coronary vessels involved: 1
- Infarction date (acute): 06/11/1990
- Previous infarction (1) date: n/a
- Previous infarction (2) date: n/a
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Hemodynamics
- Catheterization date: 13/11/1990
- Ventriculography: Hypokinesia/Akinesia apex and inferior wall
- Chest X-ray: Heart size upper limit of norm
- Peripheral blood Pressure (syst/diast): 140/70 mmHg
- Pulmonary artery pressure (at rest) (syst/diast): 21/11 cmH2O
- Pulmonary artery pressure (at rest) (mean): 16 cmH2O
- Pulmonary capillary wedge pressure (at rest): 6 cmH2O
- Cardiac output (at rest): 4,48 l/min
- Cardiac index (at rest): 2,68 l/min/sqrmBSA
- Stroke volume index (at rest): 29.7 ml/beat
- Pulmonary artery pressure (load) (syst/diast): 43/19 cmH2O
- Pulmonary artery pressure (load) (mean): 31 cmH2O
- Pulmonary capillary wedge pressure (load): 17 cmH2O
- Cardiac output (load): 8,39 l/min
- Cardiac index (load): 5,01 l/min/sqrmBSA
- Stroke volume index (load): 36,3 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): Ramus postero-lateralis 95%
- Right coronary artery stenoses (RCA): No stenoses
- Echocardiography: n/a
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Therapy
- Infarction date: 06/11/1990
- Catheterization date: 13/11/1990
- Admission date: 06/11/1990
- Medication pre admission: etilephrin
- Start lysis therapy (hh.mm): 16:25
- Lytic agent: Streptokinase
- Dosage (lytic agent): 1.5 MIO IE
- Additional medication: Nitrate Triflupromazin Diazepam
- In hospital medication: Ca-antagonist ASA Isosorbit-Mononitrate Metoprolol Buprenorphin
- Medication after discharge: Metprolol ASA