- Beecardia - Physiobank
- >
- PTB Diagnostic ECG
- >
- Record:
Record s0080lre-patient023
- ECG date: 17/12/1990
-
Diagnose
- Reason for admission: Myocardial infarction
- Acute infarction (localization): inferior
- Former infarction (localization): no
- Additional diagnoses: Hypercholesterinemia, peripheral atherosclerosis
- Smoker: no
- Number of coronary vessels involved: 3
- Infarction date (acute): 17/12/1990
- Previous infarction (1) date: n/a
- Previous infarction (2) date: n/a
-
Hemodynamics
- Catheterization date: 27/12/1990
- Ventriculography: Akinesia antero-lateral wall and apex, Hypokinesia infero-basal wall
- Chest X-ray: Enlarged right heart, pulmonary venous congestion
- Peripheral blood Pressure (syst/diast): 120/60 mmHg
- Pulmonary artery pressure (at rest) (syst/diast): 37/17 cmH2O
- Pulmonary artery pressure (at rest) (mean): 24 cmH2O
- Pulmonary capillary wedge pressure (at rest): 21 cmH2O
- Cardiac output (at rest): 6,88 l/min
- Cardiac index (at rest): 3,66 l/min/sqrmBSA
- Stroke volume index (at rest): 50.8 ml/beat
- Pulmonary artery pressure (load) (syst/diast): 62/35 cmH2O
- Pulmonary artery pressure (load) (mean): 48 cmH2O
- Pulmonary capillary wedge pressure (load): 41 cmH2O
- Cardiac output (load): 8,7 l/min
- Cardiac index (load): 4,63 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 100% at origin. Ramus diagonalis_1 100% at origin.
- Left coronary artery stenoses (RCX): Ramus marginalis sinister_1 80%
- Right coronary artery stenoses (RCA): RCA proximal and middle part >70%
- Echocardiography: n/a
-
Therapy
- Infarction date: 17/12/1990
- Catheterization date: 27/12/1990
- Admission date: 17/12/1990
- Medication pre admission: -
- Start lysis therapy (hh.mm): 06:40
- Lytic agent: Streptokinase
- Dosage (lytic agent): 1.5 Mio IE
- Additional medication: ASA Isosorbit-Dinitrate Molsidomin Triflupromazin
- In hospital medication: Diazepam Metprolol
- Medication after discharge: Isosorbit-Dinitrate Metoprolol
comments powered by