mgh042 8 360/0.476 719280 7:08:08 15/07/1991 mgh042.dat 212 173(-319)/mV 12 0 -311 19287 0 ECG Lead I mgh042.dat 212 298(9)/mV 12 0 -48 31937 0 ECG Lead II mgh042.dat 212 292(9)/mV 12 0 -394 -29742 0 ECG Lead V4 mgh042.dat 212 1000 12 0 1804 10859 0 No signal mgh042.dat 212 1000 12 0 1786 25981 0 No signal mgh042.dat 212 1000 12 0 283 3482 0 No signal mgh042.dat 212 2.75(896)/mmHg 12 0 892 -16351 0 Pressure mgh042.dat 212 1000 12 0 1750 28386 0 No signal #: 1 : F : Ventricular septal defect; Coarctation of the aorta # PROCEDURE: # Pediatric Cath/RHC/LHC # ECG DATA: # LEADS: # I (telemetry), II, V4 (on ch5) # RHYTHM: # Sinus tachycardia # RHYTHM CHANGES: # Multifocal ventricular ectopy with fusion beats, couplets, and runs of tachycardia # Episodes of atrial tachycardia # ECG INTERPRETATION: # Biventricular hypertrophy # ST depression in V4 due to RV conduction defect # TECHNICAL COMMENTS: # ECG on Channel 5 initially set-up for Lead III, lead selection changed to V4 for recording # HEMODYNAMIC DATA: # ART: 100/? # PA: 35/14 (20) # CVP: 2 # LAP: 8 # VENTRICULAR SHUNT: 3: 1 # PROCEDURAL EVENTS: RHYTHM/PRESSURE CHANGES: # SET-UP # 0-10 sec CAL TO ECG # 10-14 sec ZERO CH 10/CAL OF 200 CH 10 # 1 min ZERO CH9/CAL OF 200 CH9 # 1 min STOP TAPE # 1 min ZERO CH8/CAL OF 200 CH8 # 2 min EKG ON # 3 min CAL TO ECG TELEMETRY # 5 min CAL TO ECG LEAD I, II, V4 # 8 min STOP/FFW # 8 min TAPE ON # CATHETER IN IVC # TRACE OFF # 11 min CATHETER IN RV RV # 11 min CHANGE ATTENUATION # RUNS OF VT # 12 min CATHETER IN PA PA # SCALE 0-100 # 12 min SCALE 0-40 # 13 min PULLBACK RV # 13 min BLOCK AND IRRITABILITY # 14 min RV BODY # SCALE 0-40 # 14 min SCALE 0-100 # 14 min PULLBACK TO RA RA # 18 min ACROSS FORAMEN TO LA LA # 18 min LV LV # 25 min ECG TELEMETERY OFF # PRESSURE SCALE TO 200 # 29 min LV GRAM