mgh018 8 360/0.476 1501200 11:52:29 25/06/1991 mgh018.dat 212 250(-320)/mV 12 0 -341 36607 0 ECG lead I mgh018.dat 212 250(-100)/mV 12 0 -14 16813 0 ECG lead II mgh018.dat 212 250(0)/mV 12 0 -43 58543 0 ECG lead V mgh018.dat 212 7.22(-1172)/mmHg 12 0 -13 62841 0 ART mgh018.dat 212 27(-1575)/mmHg 12 0 -1022 4616 0 PAP mgh018.dat 212 1000 12 0 -1029 31810 0 OFF mgh018.dat 212 1000 12 0 -37 48171 0 Resp. Imp. mgh018.dat 212 1000 12 0 943 9658 0 CO2 #: 67 : M : Repair of duodenal ulcer # PERTINENT HISTORY: # COPD # GENERAL COMMENTS: # Bedmaking # ELECTROCARDIOGRAPHIC DATA: # UNDERLYING RHYTHM: # Normal sinus rhythm @ 98 bpm # RHYTHM DISTURBANCES: # Multifocal atrial ectopy # Junctional escape beats # Multifocal ventricular ectopy # Ventricular bigeminy/couplets # ECG INTERPRETATION: # Nonspecific ST segment and T wave abnormalities # Anteroseptal infarct of indeterminate age # COMMENTS: # This tracing illustrates the electrocardiographic changes commonly observed during insertion of a pulmonary arterial catheter. # As the catheter moves through the right ventricle, multifocal ventricular ectopy appears, occasionally in a bigeminal pattern or in pairs. # Premature atrial contractions and a junctional escape beat are evident as the catheter traverses the pulmonary artery. # HEMODYNAMIC DATA: # ART: 160/64 # PAP: 41/24 PCW: 15 (@ 38 min, 42 min, 43 min, 51 min) # RAP: 16 # WAVEFORM PATTERNS: # This tracing illustrates the hemodynamic patterns observed during insertion of a pulmonary arterial catheter. # As the catheter is advanced through the right atrium, right ventricle and pulmonary artery into the pulmonary capillary wedge position, distinctive hemodynamic patterns are evident. # TECHNICAL COMMENTS: # Insertion of pulmonary arterial catheter @ 0-10 min # CVP damped @ 52 min - 55 min # RESPIRATORY DATA: # RATE: 13/22 bpm # MODE OF VENTILATION: # Intermittent mandatory ventilation # CO2 RECORDING: # On @ 11 min