mgh020 8 360/0.476 1663871 mgh020.dat 212 750(0)/mV 12 0 -746 18685 0 ECG lead I mgh020.dat 212 750(0)/mV 12 0 -872 9705 0 ECG lead II mgh020.dat 212 750(0)/mV 12 0 -734 6637 0 ECG lead V mgh020.dat 212 12.3(-1206)/mmHg 12 0 -1422 54988 0 ART mgh020.dat 212 21.36(-1008)/mmHg 12 0 -1302 4866 0 PAP mgh020.dat 212 20.12(-998)/mmHg 12 0 -1240 60534 0 CVP mgh020.dat 212 1000 12 0 -817 2852 0 Resp. Imp. mgh020.dat 212 1000 12 0 -790 45762 0 CO2 #: 60 : F : Axillo-popliteal bypass graft # PERTINENT HISTORY: # Coronary disease # Smoker # PHARMACOLOGIC SUPPORT: # Dopamine @ 150 mcg/min # COMMENTS: # Arrhythmias on mgh137 with potassium therapy on mgh020 # Stop/FFW @ 23 min # Bed changed @ 43 min - 53 min # Suctioning @ 54 min - 56 min # ELECTROCARDIOGRAPHIC DATA: # UNDERLYING RHYTHM: # Junctional rhythm with right bundle branch block @ 96 bpm # RHYTHM DISTURBANCES: # Runs of junctional tachycardia # Atrial ectopy # ECG INTERPRETATION: # Low voltage # Nonspecific ST segment and T wave abnormalities # TECHNICAL COMMENTS: # Wandering baseline # HEMODYNAMIC DATA: # ART: 110/70 MEAN: 75 # PAP: 36/20 PCW: 14 (@ 5 min, 6 min, 66 min) # RAP: 11 CO: 2.2 # WAVEFORM PATTERNS: # The abrupt conversion of junctional rhythm to junctional tachycardia creates ringing in the pulmonary arterial tracing and elevation of arterial diastolic pressure. # These changes subside with resumption of a slower rhythm. Central vascular pressures exhibit the pattern of respiratory variation of controlled ventilation. # TECHNICAL COMMENTS: # PA zero @ 9 min # RESPIRATORY DATA: # RATE: 7 bpm # MODE OF VENTILATION: # Controlled # CO2 RECORDING