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- PTB Diagnostic ECG
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- Record:
Record s0190lre-patient052
- ECG date: 03/06/1991
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Diagnose
- Reason for admission: Myocardial infarction
- Acute infarction (localization): infero-lateral
- Former infarction (localization): no
- Additional diagnoses: Arterial hypertension
- Smoker: yes
- Number of coronary vessels involved: 1
- Infarction date (acute): 14/05/1991
- Previous infarction (1) date: n/a
- Previous infarction (2) date: n/a
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Hemodynamics
- Catheterization date: 21/05/1991
- Ventriculography: Akinesia inferior and posterior wall
- Chest X-ray: no
- Peripheral blood Pressure (syst/diast): 110/90 mmHg
- Pulmonary artery pressure (at rest) (syst/diast): 14/7 cmH2O
- Pulmonary artery pressure (at rest) (mean): 11 cmH2O
- Pulmonary capillary wedge pressure (at rest): 7 cmH2O
- Cardiac output (at rest): 9,4 l/min
- Cardiac index (at rest): 4,27 l/min/sqrmBSA
- Stroke volume index (at rest): 68.8 ml/beat
- Pulmonary artery pressure (load) (syst/diast): 28/13 cmH2O
- Pulmonary artery pressure (load) (mean): 18 cmH2O
- Pulmonary capillary wedge pressure (load): 13 cmH2O
- Cardiac output (load): 15,8 l/min
- Cardiac index (load): 7,18 l/min/sqrmBSA
- Stroke volume index (load): 72,7 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): RCX distal to a small ramus marginalis 70%
- Right coronary artery stenoses (RCA): No stenoses
- Echocardiography: n/a
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Therapy
- Infarction date: 14/05/1991
- Catheterization date: 21/05/1991
- Admission date: 14/05/1991
- Medication pre admission: -
- Start lysis therapy (hh.mm): 12:57
- Lytic agent: Streptokinase
- Dosage (lytic agent): 1.5 Mio IE
- Additional medication: Nitrate Heparin Metoprolol ASA
- In hospital medication: ASA Metoprolol Ca-antagonist
- Medication after discharge: ASA Metoprolol