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- PTB Diagnostic ECG
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- Record:
Record s0233lre-patient069
- ECG date: 21/11/1991
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Diagnose
- Reason for admission: Myocardial infarction
- Acute infarction (localization): antero-lateral
- Former infarction (localization): no
- Additional diagnoses: no
- Smoker: yes
- Number of coronary vessels involved: 1
- Infarction date (acute): 18/11/1991
- Previous infarction (1) date: n/a
- Previous infarction (2) date: n/a
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Hemodynamics
- Catheterization date: 13/05/1992
- Ventriculography: normal
- Chest X-ray: Normal sized heart, Pulmonary emphysema
- Peripheral blood Pressure (syst/diast): 110/50 mmHg
- Pulmonary artery pressure (at rest) (syst/diast): 19/3 cmH2O
- Pulmonary artery pressure (at rest) (mean): 10 cmH2O
- Pulmonary capillary wedge pressure (at rest): 3 cmH2O
- Cardiac output (at rest): 6,92 l/min
- Cardiac index (at rest): 3,95 l/min/sqrmBSA
- Stroke volume index (at rest): 47.1 ml/beat
- Pulmonary artery pressure (load) (syst/diast): 30/9 cmH2O
- Pulmonary artery pressure (load) (mean): 20 cmH2O
- Pulmonary capillary wedge pressure (load): 4 cmH2O
- Cardiac output (load): 12,22 l/min
- Cardiac index (load): 6,98 l/min/sqrmBSA
- Stroke volume index (load): 58,2 ml/beat
- Aorta (at rest) (syst/diast): n/a
- Aorta (at rest) mean: n/a
- Left coronary artery stenoses (RIVA): RIVA distal to ramus septalis 50-70%
- Left coronary artery stenoses (RCX): No stenoses
- Right coronary artery stenoses (RCA): No stenoses
- Echocardiography: n/a
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Therapy
- Infarction date: 18/11/1991
- Catheterization date: 13/05/1992
- Admission date: 18/11/1991
- Medication pre admission: -
- Start lysis therapy (hh.mm): 05:00
- Lytic agent: Streptokinase
- Dosage (lytic agent): 1.5 Mio IE
- Additional medication: Nitrate ASA Diazepam
- In hospital medication: ASA Isosorbit-Dinitrate Diazepam
- Medication after discharge: ASA Metoprolol Isisorbit-Mononitrate