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- PTB Diagnostic ECG
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- Record:
Record s0113lre-patient033
- ECG date: 24/01/1991
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Diagnose
- Reason for admission: Myocardial infarction
- Acute infarction (localization): antero-septal
- Former infarction (localization): no
- Additional diagnoses: Hypercholesterinemia
- Smoker: no
- Number of coronary vessels involved: 2
- Infarction date (acute): 20/01/1991
- Previous infarction (1) date: n/a
- Previous infarction (2) date: n/a
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Hemodynamics
- Catheterization date: 28/01/1991
- Ventriculography: Limited hypokinesia anterior wall and apex
- Chest X-ray: normal
- Peripheral blood Pressure (syst/diast): 100/65 mmHg
- Pulmonary artery pressure (at rest) (syst/diast): 20/14 cmH2O
- Pulmonary artery pressure (at rest) (mean): 12 cmH2O
- Pulmonary capillary wedge pressure (at rest): 8 cmH2O
- Cardiac output (at rest): 6,03 l/min
- Cardiac index (at rest): 3,05 l/min/sqrmBSA
- Stroke volume index (at rest): 51.0 ml/beat
- Pulmonary artery pressure (load) (syst/diast): 56/19 cmH2O
- Pulmonary artery pressure (load) (mean): 35 cmH2O
- Pulmonary capillary wedge pressure (load): 29 cmH2O
- Cardiac output (load): 13,4 l/min
- Cardiac index (load): 6,8 l/min/sqrmBSA
- Stroke volume index (load): 70,5 ml/beat
- Aorta (at rest) (syst/diast): n/a
- Aorta (at rest) mean: n/a
- Left coronary artery stenoses (RIVA): RIVA 80%.
- Left coronary artery stenoses (RCX): RCX 60%
- Right coronary artery stenoses (RCA): n/a
- Echocardiography: n/a
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Therapy
- Infarction date: 20/01/1991
- Catheterization date: 28/01/1991
- Admission date: 20/01/1991
- Medication pre admission: -
- Start lysis therapy (hh.mm): 13:00
- Lytic agent: Streptokinase
- Dosage (lytic agent): 1.5 Mio IE
- Additional medication: Nitrate Heparin Triflupromazin
- In hospital medication: Ca-antagonist Isosorbit-Mononitrate ASA Isosorbit-Dinitrate Colestyramin
- Medication after discharge: ASA Isosorbit-Dinitrate Colestyramin