mgh241 8 360/0.476 1868400 15:29:20 10/09/1991
mgh241.dat 212 1000(-300)/mV 12 0 -378 23174 0 No ECG
mgh241.dat 212 290(-200)/mV 12 0 -12 -5695 0 ECG lead II
mgh241.dat 212 290(75)/mV 12 0 -21 2807 0 ECG lead V
mgh241.dat 212 8(-750)/mmHg 12 0 -10 4454 0 ART
mgh241.dat 212 45(-750)/mmHg 12 0 -14 -21943 0 PAP
mgh241.dat 212 95(-10)/mmHg 12 0 -17 24401 0 CVP
mgh241.dat 212 1000 12 0 -14 -16224 0 No signal
mgh241.dat 212 1000 12 0 1014 -24815 0 No signal
# AGE/SEX:
# 61 year old male
# DIAGNOSIS:
# Coronary artery disease
# Congestive heart failure
# Mild mitral regurgitation
# PROCEDURE:
# LV aneurysmectomy
# ECG DATA:
# LEADS:
# II,V4
# RHYTHM:
# Ventricular pacing @ 100 bpm
# PACEMAKER DATA:
# Permanent = Atomic ventricular pacer
# Pre-bypass = Swan-Ganz temporary pacer
# Post-bypass = temporary epicardial pacing
# RHYTHM CHANGES: (Tapes 209, 210, and 211)
# Ventricular ectopy
# Asystolic episode
# Single and dual chamber pacing (competition)
# Ventricular fibrillation
# Dual chamber pacing
# ECG INTERPRETATION:
# Antero-lateral infarct
# STI wave change post-bypass
# HEMODYNAMIC DATA:
# ART: 132/60
# PA: 50/ (37) PCW: 25
# CVP: 15
# CO: 2.6 (1st); 4.0 (30 min later)
# NOTE: Cannon or V waves with V Pacing
# PROCEDURAL EVENTS: RHYTHM/PRESSURE CHANGES:
# SET-UP
# 0-11 sec ECG CAL
# 14/17 sec ZERO/CAL OF 200 CH9
# 1 min STOP/FFW/START
# 2 min CHANGE CH4 LEVEL
# 2 min ZERO/CAL OF 40 CH 11
# 2-3 min ZERO/CAL OF 40 CH8
# 14 min SWAN-GANZ INSERTION
# 23 min RIGHT VENTRICLE RV
# 23 min PULMONARY ARTERY PA
# 23 min PCW PCW
# 24 min ANNOTATION
# 25 min ZERO/CAL OF 40 CH 11
# 26 min ZERO/CAL OF 40 CH8
# 26 min ZERO/CAL OF 200 CH9
# CHANGE IN ARTERIAL CONTOUR:
# Nipride/Volume/increased cardiac output
# 28 min CHANGE IN ZERO CH 11
# 28 min CHANGE IN ZERO CH 11