mgh143 8 360/0.476 1505520 16:05:10 30/07/1991 mgh143.dat 212 275(-373)/mV 12 0 -359 15393 0 ECG Lead I mgh143.dat 212 239(-15)/mV 12 0 -9 -1594 0 ECG Lead II mgh143.dat 212 221(-27)/mV 12 0 -14 -25521 0 ECG V Lead mgh143.dat 212 12.08(-1352)/mmHg 12 0 -6 19662 0 ART mgh143.dat 212 10.19(-1136)/mmHg 12 0 -1032 -20591 0 PAP mgh143.dat 212 1000 12 0 -1031 28972 0 CVP off mgh143.dat 212 1000 12 0 -8 21618 0 Resp. Imp. mgh143.dat 212 1000 12 0 1007 10950 0 CO2 #: 69 : M : Resection of bilateral iliac aneursysms; Respiratory distress # PERTINENT HISTORY: # Coronary artery disease # PHARMACOLOGIC SUPPORT: # Neosynephrine 30 mcg/min then discontinued # GENERAL COMMENTS: # Turning @ 55 min # ELECTROCARDIOGRAPHIC DATA: # UNDERLYING RHYTHM: # Normal sinus rhythm with first degree heart block and intra-ventricular conduction defect @ 81 bpm # RHYTHM DISTURBANCES: # Atrial ectopy, occasional blocked conduction # Junctional escape beat # Rare unifocal ventricular ectopy # ECG INTERPRETATION: # Left atrial enlargement # Poor R wave progression consistent with old anteroseptal infarct # Nonspecific ST segment and T wave abnormalities # Inferolateral infarct # Non-specific STT wave changes # TECHNICAL COMMENTS: # Occasional muscle tremor # HEMODYNAMIC DATA: # ART: 130/50 MEAN: 75 # PAP: 52/24 PCW: 22 (@ 19 min, 42 min, 46 min) # RAP: 10 CO: 7.3 # WAVEFORM PATTERNS: # Pulmonary hypertension # "Catheter whip" in PA trace # RESPIRATORY DATA: # RATE: 10/32 bpm # MODE OF VENTILATION: # Intermittent mandatory ventilation # CO2 RECORDING