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- PTB Diagnostic ECG
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- Record:
Record s0347lre-patient042
- ECG date: 27/10/1992
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Diagnose
- Reason for admission: Myocardial infarction
- Acute infarction (localization): antero-septal
- Former infarction (localization): no
- Additional diagnoses: no
- Smoker: yes
- Number of coronary vessels involved: 1
- Infarction date (acute): 26/02/1991
- Previous infarction (1) date: n/a
- Previous infarction (2) date: n/a
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Hemodynamics
- Catheterization date: 14/08/1991
- Ventriculography: Akinesia apex, Hypokinesia anterior wall
- Chest X-ray: normal
- Peripheral blood Pressure (syst/diast): 120/80 mmHg
- Pulmonary artery pressure (at rest) (syst/diast): 23/10 cmH2O
- Pulmonary artery pressure (at rest) (mean): 16 cmH2O
- Pulmonary capillary wedge pressure (at rest): 11 cmH2O
- Cardiac output (at rest): 5,62 l/min
- Cardiac index (at rest): 2,7 l/min/sqrmBSA
- Stroke volume index (at rest): 35.0 ml/beat
- Pulmonary artery pressure (load) (syst/diast): 49/23 cmH2O
- Pulmonary artery pressure (load) (mean): 40 cmH2O
- Pulmonary capillary wedge pressure (load): 31 cmH2O
- Cardiac output (load): 11,85 l/min
- Cardiac index (load): 5,8 l/min/sqrmBSA
- Stroke volume index (load): 40 ml/beat
- Aorta (at rest) (syst/diast): n/a
- Aorta (at rest) mean: n/a
- Left coronary artery stenoses (RIVA): RIVA proximal 25-50%
- Left coronary artery stenoses (RCX): No stenoses
- Right coronary artery stenoses (RCA): No stenoses
- Echocardiography: n/a
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Therapy
- Infarction date: 26/02/1991
- Catheterization date: 14/08/1991
- Admission date: 26/02/1991
- Medication pre admission: ASA
- Start lysis therapy (hh.mm): 01:15
- Lytic agent: Streptokinase
- Dosage (lytic agent): 1.5 Mio IE
- Additional medication: ASA Ca-antagonist Isosorbit-Dinitrate Molsidomin Metoprolol
- In hospital medication: Metprolol Captopril
- Medication after discharge: Isosorbit-Dinitrate Metprolol Captopril ASA