mgh029 8 360/0.476 1751777 mgh029.dat 212 761(-106)/mV 12 0 -785 11026 0 ECG lead I mgh029.dat 212 809(-110)/mV 12 0 -781 19952 0 ECG lead II mgh029.dat 212 573(4)/mV 12 0 -687 59958 0 ECG lead V mgh029.dat 212 12.2(-1228)/mmHg 12 0 -1470 48992 0 ART mgh029.dat 212 20.08(-1028)/mmHg 12 0 -1297 45561 0 PAP mgh029.dat 212 20.06(-1009)/mmHg 12 0 -1377 59801 0 CVP mgh029.dat 212 1000 12 0 -702 51965 0 Resp. Imp. mgh029.dat 212 1000 12 0 -1369 37716 0 CO2 #: 84 : M : Resection and grafting of abdominal aortic aneurysm # PERTINENT HISTORY: # Coronary disease # COPD # PHARMACOLOGIC SUPPORT: # Dopamine @ 800 mcg/min,then 200 mcg/min, then 800 mcg/min # Levophed @ 2 mcg/min, then 3 mcg/min, then 2 mcg/min, then 10 mcg/min # Accidental Levophed bolus near end of tape # GENERAL COMMENTS: # Suctioning @ 35 min - 40 min # ELECTROCARDIOGRAPHIC DATA: # UNDERLYING RHYTHM: # Sinus tachycardia @ 100 bpm # RHYTHM DISTURBANCES: # Atrial ectopy # Unifocal ventricular ectopy # Run of supraventricular tachycardia @ 61 min # ECG INTERPRETATION: # Evolving anterior infarct # TECHNICAL COMMENTS: # LL electrode off @ 41 min - 43 min # HEMODYNAMIC DATA: # ART: 120/60 MEAN: 85 # PAP: 44/24 PCW: 20 (@ 8 min, 56 min, 57 min, 60 min) # RAP: 18 # WAVEFORM PATTERNS: # Arterial hypotension near end of tape is followed by acute hypertension culminating in pulsus alternans. # The course of pulmonary hypertension parallels that of systemic arterial hypertension. # "Catheter whip" is pronounced in the pulmonary arterial tracing. # TECHNICAL COMMENTS: # Poor frequency response CVP (12.5 Hz) # Borderline frequency response PAP (16.5 H2z # RESPIRATORY DATA: # RATE: 10 bpm # MODE OF VENTILATION: # Controlled # CO2 RECORDING: # On @ 11 min, off @ 50 min