mgh111 8 360/0.476 1650240 17:24:29 31/05/1991 mgh111.dat 212 250(-380)/mV 12 0 -335 -93 0 ECG lead I mgh111.dat 212 250(-10)/mV 12 0 -23 -23275 0 ECG lead II mgh111.dat 212 250(-30)/mV 12 0 -61 -3318 0 ECG lead V mgh111.dat 212 11.68(-1393)/mmHg 12 0 -22 -674 0 ART mgh111.dat 212 19.42(-1143)/mmHg 12 0 -1062 -15782 0 PAP mgh111.dat 212 20 12 0 -1050 20324 0 CVP mgh111.dat 212 1000 12 0 -65 -20764 0 Resp. Imp. mgh111.dat 212 1000 12 0 907 -1521 0 CO2 #: 49 : M : Colectomy; Sepsis # PERTINENT HISTORY: # Coronary disease # Peripheral vascular disease # COPD # PHARMACOLOGIC SUPPORT: # Dopamine @ 320 mcg/min # TNG @ 275 mcg/min # GENERAL COMMENTS: # PA insertion @ 0 min - 15 min, TNG off resulting in worsening hemodynamics and ECG pattern # Suctioning @ 32 min # ELECTROCARDIOGRAPHIC DATA: # UNDERLYING RHYTHM: # Normal sinus rhythm with incomplete right bundle branch block @ 84 bpm # RHYTHM DISTURBANCES: # Rare atrial ectopy # Supraventricular tachycardia # Multifocal ventricular ectopy, occasional fusion beats or bigeminy # ECG INTERPRETATION: # Left atrial enlargement # Diffuse ST segment and T wave changes consistent with subendocardial myocardial infarction/ischemia # HEMODYNAMIC DATA: # ART: 104/56 (pedal) # PAP: 40/25 PCW: (@ 10 min, 11 min, 17 min, 18 min, 56 min, 66 min) # RAP: 14 CO: 7.6 # WAVEFORM PATTERNS: # Rise in PCW and fall in blood pressure with pulsus alternans due to discontinuation of TNG during PA insertion # TECHNICAL COMMENTS: # Zero @ 15 min - 16 min # Zero/cal/pop-test sequence @ 20 min - 26 min # PA pop-test repeated due to poor quality # RESPIRATORY DATA: # RATE: 14/14 bpm # MODE OF VENTILATION: # Controlled # CO2 RECORDING # COMMENTS: # Poor impedance signal