mgh044 8 360/0.476 1172880 18:47:42 15/07/1991 mgh044.dat 212 157(-321)/mV 12 0 -330 -25397 0 ECG Lead I mgh044.dat 212 293(-261)/mV 12 0 5 5190 0 ECG Lead II mgh044.dat 212 313(78)/mV 12 0 -11 21953 0 ECG Lead III mgh044.dat 212 1000 12 0 8 31612 0 No signal mgh044.dat 212 1000 12 0 1 23356 0 No signal mgh044.dat 212 1000 12 0 -6 -25265 0 No signal mgh044.dat 212 2.75(905)/mmHg 12 0 9 25509 0 Pressure mgh044.dat 212 1000 12 0 27 -31959 0 No signal #: 64 : M : Paroxysmal ventricular tachycardia # PROCEDURE: # Pace map # ECG DATA: # LEADS: # I (telemetry) II, III # RHYTHM: # Normal sinus rhythm with left bundle branch block # RHYTHM CHANGES: # Ventricular ectopy with runs of tachycardia requiring defibrillation # ECG INTERPRETATION: # Possible old anterior wall infarct # HEMODYNAMIC DATA: # ART: 98/68 # PROCEDURAL EVENTS: RHYTHM/PRESSURE CHANGES: # SET-UP # 0-16 sec CAL TO ECG (s) # 18-27 sec STOP/FFW # INSERT PACING CATHETER # 1 min ?PACE ON-OFF PACE # 3 min ?PACE # 4 min ON-OFF # 4 min STIMULATE VT VT # 5 min INTERRUPT VT WITH PACING # 12 min ART # 12 min ZERO/CAL # 23 min CATHETER RE-POSITIONING RUNS OF VENTRICULAR # IRRITABILITY (BIGEMINY /COUPLETS/MULTIFOCAL) # 29 min PACE PACE # PACE OFF # 30 min REPEAT # 32 min REPEAT # 40 min ?PACE 3 BEAT RUN # 40 min STIMULATE VT VT # 41 min INTERRUPT VT # 47 min STIMULATE VT VT # 50 min DEFIBILLATE @ 100 joules