mgh021 8 360/0.476 1166400 16:47:00 31/05/1991
mgh021.dat 212 288(-287)/mV 12 0 -340 53095 0 ECG lead I
mgh021.dat 212 240(-80)/mV 12 0 -25 17726 0 ECG lead II
mgh021.dat 212 224(-14)/mV 12 0 -61 47853 0 ECG lead V
mgh021.dat 212 16.7(-1431)/mmHg 12 0 -25 23760 0 ART
mgh021.dat 212 34.34(-1643)/mmHg 12 0 -1063 46565 0 PAP
mgh021.dat 212 19.8(-1181)/mmHg 12 0 -1052 43543 0 CVP
mgh021.dat 212 1000 12 0 -65 4256 0 Resp. Imp.
mgh021.dat 212 1000 12 0 908 3418 0 CO2
#<age>: 75 <sex>: M <diagnoses>: Upper GI bleeding
# PERTINENT HISTORY:
# Coronary disease
# Peripheral vascular disease
# PHARMACOLOGIC SUPPORT:
# Pitressin @ 12 mcg/min
# TNG @ 30 mcg/min, then 100 mcg/min
# Dopamine @ 320 mcg/min (then OFF @ 31 min)
# GENERAL COMMENTS:
# Recording ends @ 44 min with final annotation sequence
# Re-started @ 44 min - 51 min
# ELECTROCARDIOGRAPHIC DATA:
# UNDERLYING RHYTHM:
# Normal sinus rhythm @ 92 bpm
# RHYTHM DISTURBANCES:
# Atrial ectopy with bigeminal pattern
# Supraventricular tachycardia
# Multifocal ventricular ectopy, occasional fusion beats
# ECG INTERPRETATION:
# Question acute anterior subendocardial injury and possibly evolving infarction
# TECHNICAL COMMENTS:
# Wandering baseline
# Carotid sinus massage @ 31 min
# HEMODYNAMIC DATA:
# ART: 100/75 MEAN: 85
# (femoral)
# PAP: 34/24
# RAP: 16 CO: 3.2
# WAVEFORM PATTERNS:
# Fluctuations in arterial pressure
# Respiratory variation
# RESPIRATORY DATA:
# RATE: 10/10 bpm
# MODE OF VENTILATION:
# Controlled
# CO2 RECORDING