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- Record:
Record s0208lre-patient059
- ECG date: 14/08/1991
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Diagnose
- Reason for admission: Myocardial infarction
- Acute infarction (localization): infero-lateral
- Former infarction (localization): no
- Additional diagnoses: Hyperlipoproteinemia Type IIb, Arterial hypertension, Obesity
- Smoker: no
- Number of coronary vessels involved: 1
- Infarction date (acute): 31/07/1991
- Previous infarction (1) date: n/a
- Previous infarction (2) date: n/a
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Hemodynamics
- Catheterization date: 07/08/1991
- Ventriculography: Akinesia inferior
- Chest X-ray: normal
- Peripheral blood Pressure (syst/diast): 150/110 mmHg
- Pulmonary artery pressure (at rest) (syst/diast): 18/9 cmH2O
- Pulmonary artery pressure (at rest) (mean): 12 cmH2O
- Pulmonary capillary wedge pressure (at rest): 8 cmH2O
- Cardiac output (at rest): 4,21 l/min
- Cardiac index (at rest): 3,65 l/min/sqrmBSA
- Stroke volume index (at rest): 26.0 ml/beat
- Pulmonary artery pressure (load) (syst/diast): 44/26 cmH2O
- Pulmonary artery pressure (load) (mean): 35 cmH2O
- Pulmonary capillary wedge pressure (load): 27 cmH2O
- Cardiac output (load): 6,45 l/min
- Cardiac index (load): 4,06 l/min/sqrmBSA
- Stroke volume index (load): 31,2 ml/beat
- Aorta (at rest) (syst/diast): n/a
- Aorta (at rest) mean: n/a
- Left coronary artery stenoses (RIVA): RIVA proximal to ramus diagonalis_1 50%
- Left coronary artery stenoses (RCX): No stenoses
- Right coronary artery stenoses (RCA): RCA distal to ramus ventricularis dexter 90%
- Echocardiography: n/a
-
Therapy
- Infarction date: 31/07/1991
- Catheterization date: 07/08/1991
- Admission date: 31/07/1991
- Medication pre admission: -
- Start lysis therapy (hh.mm): 06:38
- Lytic agent: Gamma-TPA
- Dosage (lytic agent): 100 mg
- Additional medication: Heparin ASA Isosorbit-Dinitrate Molsidomin Furosemide
- In hospital medication: ASA Isosorbit-Dinitrate Molsidomin Metprolol
- Medication after discharge: ASA
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