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
#<age>: 49 <sex>: M <diagnoses>: 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