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 #: 75 : M : 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