mgh017 8 360/0.476 1815464 mgh017.dat 212 750(0)/mV 12 0 -714 45943 0 ECG lead I mgh017.dat 212 750(0)/mV 12 0 -869 14948 0 ECG lead II mgh017.dat 212 750(0)/mV 12 0 -890 16779 0 ECG lead V mgh017.dat 212 11.92(-1228)/mmHg 12 0 -1494 6098 0 ART mgh017.dat 212 20.86(-1024)/mmHg 12 0 -1267 22188 0 PAP mgh017.dat 212 1000 12 0 -1023 61191 0 OFF mgh017.dat 212 1000 12 0 -673 17193 0 Resp. Imp. mgh017.dat 212 1000 12 0 -1376 49343 0 CO2 #: 74 : M : Mitral valve replacement and coronary artery bypass graft # PERTINENT HISTORY: # Systemic and pulmonary hypertension # COPD # Peripheral vascular disease # PHARMACOLOGIC SUPPORT: # Dopamine @ 208 mcg/min # Regitine @ 28 mcg/min # Inocor # GENERAL COMMENTS: # Suctioned and ambued @ 48 min - 63 min # ELECTROCARDIOGRAPHIC DATA: # UNDERLYING RHYTHM: # Normal sinus rhythm with right bundle branch block @ 100 bpm # RHYTHM DISTURBANCES: # Atrial ectopy # ECG INTERPRETATION: # Inferior infarct # Right ventricular hypertrophy # Right axis deviation # Non-specific sn wave changes # Counterclockwise rotation # HEMODYNAMIC DATA: # ART: 123/56 MEAN: 95 # PAP: 66/28 # RAP: 13 Cl:2.5 # INTRA-AORTIC BALLOON DATA: # 40 cc balloon (transthoracic insertion) # Aries console # 1: 1 balloon ratio # WAVEFORM PATTERNS: # Radial and femoral arterial IABP traces # Pulmonary hypertension # Respiratory variation; variation disappears during transient disconnection of ventilator # V wave in LA trace # TECHNICAL COMMENTS: # LA/CVP/PAP on same transducer # LA recordings: 13 min, 30 min - 36 min, 66 min - 67 min # CVP recordings: 14 min, 69 min - 70 min # PAP recordings: (wedge non-functional) 14 min, 38 min - 42 min, 67 min - 68 min # Art pop-test: 16 min # CVP zero: 15 min # RESPIRATORY DATA: # RATE: 6 bpm # MODE OF VENTILATION: # Controlled with rare spontaneous breaths # COMMENTS: # Impedance on @ 41 min