mgh067 8 360/0.476 1447200 16:55:31 08/12/1992
mgh067.dat 212 229(1)/mV 12 0 16 13066 0 ECG lead I
mgh067.dat 212 259(-26)/mV 12 0 15 29124 0 ECG lead II
mgh067.dat 212 218(21)/mV 12 0 34 -14237 0 ECG lead V
mgh067.dat 212 11.5(-1402)/mmHg 12 0 16 -19881 0 ART
mgh067.dat 212 20 12 0 2047 20338 0 PAP
mgh067.dat 212 5000 12 0 -1026 -14738 0 CVP
mgh067.dat 212 3000 12 0 43 25570 0 Resp. Imp.
mgh067.dat 212 5000 12 0 1032 -24544 0 CO2
#<age>: 64 <sex>: F <diagnoses>: Redo coronary artery bypass graft
# GENERAL COMMENTS:
# Stop/FFW @ 12 min and 51 min - 52 min
# Coughing @ 61 min
# ELECTROCARDIOGRAPHIC DATA:
# UNDERLYING RHYTHM:
# Atrial pacing with incomplete right bundle branch block @ 87 bpm
# RHYTHM DISTURBANCES:
# Competition
# PACEMAKER DATA:
# Temporary atrial fixed rate pacing (AOO)
# Epicardial wires
# Medtronic 5330 pulse generator
# MA 15
# ECG INTERPRETATION:
# Left atrial hypertrophy
# Old inferior infarct
# ST segment and T wave abnormalities consistent with lateral ischemia digitalis effect
# TECHNICAL COMMENTS:
# Wandering baseline
# Electrodes changed @ 44 min
# HEMODYNAMIC DATA:
# ART: 170/44 MEAN: 84
# PAP: 52/23 PCW: 19 (not recorded)
# RAP: 15 LAP: 17 CI: 3.2
# INTRA-AORTIC BALLOON DATA:
# 40 cc balloon
# Aries console
# 1 :4 balloon ratio
# WAVEFORM PATTERNS:
# Radial and aortic lumen traces
# Balloon console intermittently sensing atrial pacing spike as R wave from 0 min to 12 min interfering with timing.
# Good timing restored from 12 min
# Timing adjusted from 58 min - 60 min
# Timing poor from 60 min to 61 min
# TECHNICAL COMMENTS:
# PA/CVP/LAP on same transducer.
# No final pop-tests
# ECG and BP curve output from console recorded on CH8 and CH12, respectively, from 36 min - 51 min
# BP curve is substituted for aortic lumen tracing on AUX channel 10 due to saturation of CH8 @ 55 min
# (Signal is still clipped on CH8)
# RESPIRATORY DATA:
# RATE: 5/27 bpm
# MODE OF VENTILATION:
# Intermittent mandatory ventilation