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- PTB Diagnostic ECG
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- Record:
Record s0172lre-patient048
- ECG date: 10/05/1991
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Diagnose
- Reason for admission: Myocardial infarction
- Acute infarction (localization): antero-lateral
- Former infarction (localization): no
- Additional diagnoses: no
- Smoker: no
- Number of coronary vessels involved: 2
- Infarction date (acute): 07/05/1991
- Previous infarction (1) date: n/a
- Previous infarction (2) date: n/a
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Hemodynamics
- Catheterization date: 14/05/1991
- Ventriculography: Akinesia antero-lateral wall and apex
- Chest X-ray: Normal sized heart, pulmonary venous congestion
- Peripheral blood Pressure (syst/diast): 120/70 mmHg
- Pulmonary artery pressure (at rest) (syst/diast): 41/16 cmH2O
- Pulmonary artery pressure (at rest) (mean): 27 cmH2O
- Pulmonary capillary wedge pressure (at rest): 21 cmH2O
- Cardiac output (at rest): 3,9 l/min
- Cardiac index (at rest): 1,8 l/min/sqrmBSA
- Stroke volume index (at rest): 25.0 ml/beat
- Pulmonary artery pressure (load) (syst/diast): 84/33 cmH2O
- Pulmonary artery pressure (load) (mean): 57 cmH2O
- Pulmonary capillary wedge pressure (load): 42 cmH2O
- Cardiac output (load): 6,23 l/min
- Cardiac index (load): 2,87 l/min/sqrmBSA
- Stroke volume index (load): 22,8 ml/beat
- Aorta (at rest) (syst/diast): n/a
- Aorta (at rest) mean: n/a
- Left coronary artery stenoses (RIVA): LCA 50%. RIVA distal to ramus diagonalis_1 70%, distal to ramus diagonalis_2 70%.
- Left coronary artery stenoses (RCX): RCX distal to ramus marginalis_1 70%
- Right coronary artery stenoses (RCA): No stenoses
- Echocardiography: n/a
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Therapy
- Infarction date: 07/05/1991
- Catheterization date: 14/05/1991
- Admission date: 07/05/1991
- Medication pre admission: -
- Start lysis therapy (hh.mm): 17:20
- Lytic agent: Urokinase
- Dosage (lytic agent): 1.5 Mio IE
- Additional medication: Nitrate Heparin
- In hospital medication: Isosorbit-Mononitrate ASA Metprolol
- Medication after discharge: Isosorbit-Mononitrate ASA Metprolol