mgh028 8 360/0.476 1571480
mgh028.dat 212 750/mV 12 0 -795 7667 0 ECG lead I
mgh028.dat 212 750/mV 12 0 -813 63501 0 ECG lead II
mgh028.dat 212 750/mV 12 0 -754 59587 0 ECG lead V
mgh028.dat 212 11.86(-1230)/mmHg 12 0 712 31782 0 ART
mgh028.dat 212 20.84(-1063)/mmHg 12 0 -767 39975 0 PAP
mgh028.dat 212 20/mmHg 12 0 -1023 3859 0 CVP
mgh028.dat 212 1000 12 0 -687 9161 0 Resp. Imp.
mgh028.dat 212 1000 12 0 -1375 13158 0 CO2
#<age>: 49 <sex>: F <diagnoses>: Unstable post-infarction angina
# PERTINENT HISTORY:
# Mitral regurgitation
# GENERAL COMMENTS:
# Recording of PA and PCW during V pacing @ 0-4 min
# Stop/FFW @ 4 min - 5 min
# Record @ 5 min - 6 min
# Stop/FFW @ 6 min - 7 min
# Chest pain resolving @ 0 - 7 min
# Set-up sequence @ 45 min - 52 min
# ELECTROCARDIOGRAPHIC DATA:
# UNDERLYING RHYTHM:
# Ventricular pacing @ 70 bpm
# RHYTHM DISTURBANCES:
# First degree heart block
# Transient acceleration of underlying sinus rhythm with RBBB near end of recording
# PACEMAKER DATA:
# Permanent ventricular demand pacemaker (WI)
# Medtronic 8423 pulse generator
# Pulse width .496 msec
# Sensitivity 2.5 mv
# Refractory period 324 msec
# ECG INTERPRETATION:
# Antero-septal infarct
# Inferior infarct
# Left anterior hemiblock
# Left axis deviation
# TECHNICAL COMMENTS:
# Pace channel on @ 23 min
# ECG cal after 52 min
# Frequent movement artifact
# HEMODYNAMIC DATA:
# ART: 92/60
# PAP: 44/22 PCW: 20 (@ 359 min)
# WAVEFORM PATTERNS:
# The pulmonary arterial channel illustrates the following configurations in sequence @ 0-4 min:
# 1) PCW cannon waves due to A-V asynchrony,
# 2) slight normalization of cannon waves (when P preceds QRS), with evidence of V waves in PCW due to mitral regurgitation,
# 3) cannon waves,
# 4) V waves during NSR, and
# 5) pulmonary arterial configuration.
# The arterial trace exhibits minor changes in configuration during normal sinus rhythm when atrio-ventricular synchrony is restored.
# RESPIRATORY DATA:
# RATE: 20 bpm
# MODE OF VENTILATION:
# Spontaneous