mgh045 8 360/0.476 1425600 12:11:11 23/11/1992 mgh045.dat 212 183(-354)/mV 12 0 12 -21489 0 ECG lead I mgh045.dat 212 297(3)/mV 12 0 15 29217 0 ECG lead II mgh045.dat 212 290/mV 12 0 35 -17594 0 ECG lead III mgh045.dat 212 9.17(-907)/mmHg 12 0 12 -10525 0 Pressure mgh045.dat 212 1000 12 0 -993 3720 0 No signal mgh045.dat 212 1000 12 0 -1026 -17148 0 No signal mgh045.dat 212 1000 12 0 45 12187 0 No signal mgh045.dat 212 1000 12 0 1036 -6529 0 No signal #: 9 : M : Ventricular septal defect repair; PA band and coarctation repair # PROCEDURE: # Pediatric Cath # ECG DATA: # LEADS: # I (telemetry), II, III # RHYTHM: # Normal sinus rhythm with right bundle branch block # RHYTHM CHANGES: # Atrial ectopy and run of atrial tachycardia # Multifocal ventricular ectopy with couplets and runs of ventricular tachycardia # Mobitz II with 2: 1 and 3: 1 conduction # ECG INTERPRETATION: # Marked right axis deviation # Non-specific ST segment changes # HEMODYNAMIC DATA:(pre-cath) # ART: (72) # CVP: 6 # GRADIENT: 50 mm gradient across aortic valve # PROCEDURAL EVENTS: RHYTHM/PRESSURE CHANGES: # SET-UP # 2 sec ZERO # 4-11 sec CAL OF 200 CH9 # 11-20 sec ZERO # 20-22 sec TAPE OFF # 1 min ECG CALS # 1 min TAPE OFF # 1 min TAPE ON # 2 min SUBCLAVIAN INJECTION # 5 min RA # 6 min RV OUTFLOW 0-40 SCALE RV # 7 min 0-100 SCALE # 7 min 0-200 SCALE # 8 min ARRHYTHMIAS # 9 min LEFT PA 0-40 SCALE PA # 9 min LEFT PA TO MAIN PA # 9 min 0-100 SCALE MEAN PA # 10 min PULLBACK # 13 min 0-200 SCALE # 13 min RV BODY RV # 19 min DESCENDING AORTA 0-200 AO # 19 min ZERO/CAL # 19 min DESCENDING AORTA 0-100 MEAN ART = 72 # 20 min LV PRESSURE 0-100 LV # 21 min LVEDP 0-40 # 21 min 0-200 SCALE # 21 min PULLBACK TO AORTA AO # 21 min LV LV # 0-200 SCALE # PATIENT RE-POSITIONED # 32 min LV GRAM # 34 min 2: 1 BLOCK (Atropine) # 35 min 3:1 BLOCK # 36 min CATHETER OUT RATE UP # 42 min LV LV # 43 min LV INJECTION # LV PRESSURE # 44 min ZERO/CAL # 44 min LV PULLBACK 0-200 SCALE # 44 min MEAN ACROSS COARCTATION # DESCENDING AORTA AO # RIGHT HEART CATHETER INSERTED RA # 48 min RV RV # RE-POSITION PT # 55 min RV # RA PRESSURE RA # 64 min STOP