mgh086 8 360/0.476 1851120 15:38:03 09/06/1991 mgh086.dat 212 279(-319)/mV 12 0 -293 -24950 0 ECG lead I mgh086.dat 212 227(-68)/mV 12 0 -89 -30262 0 ECG lead II mgh086.dat 212 244(-27)/mV 12 0 15 -22026 0 ECG lead V mgh086.dat 212 11.75(-1545)/mmHg 12 0 -1562 -29845 0 ART mgh086.dat 212 19.06(-1606)/mmHg 12 0 -1599 -21450 0 PAP mgh086.dat 212 20.22(-1513)/mmHg 12 0 -1525 21882 0 CVP mgh086.dat 212 1000 12 0 -128 -21873 0 Resp. Imp. mgh086.dat 212 1000 12 0 -156 -1922 0 CO2 #: 66 : F : Sigmoid resection and colostomy; Sepsis # PERTINENT HISTORY: # Coronary disease # Smoker # PHARMACOLOGIC SUPPORT: # Dopamine @ 600 mcg/min # Neosynephrine @ 280 mcg/mln, then discontinued # Levophed @ 15 mcg/min, then 24 mcg/min, then 22 mcg/min # GENERAL COMMENTS: # Stop/FFW @ 11 min - 12 min # Recording resumed @ 61 min - 81 min after final zero/col/pop-test sequence @ 55 min - 61 min # ELECTROCARDIOGRAPHIC DATA: # UNDERLYING RHYTHM: # Sinus tachycardia @ 129 bpm # ECG INTERPRETATION: # Borderline low voltage # Diffuse nonspecific ST segment and T wave abnormalities # Poor R wave progression consistent with anterior myocardial infarction, poor lead placement, COPD # HEMODYNAMIC DATA: # ART: 80/50 MEAN: 65 # (brachial) # PAP: 32/20 CW: 16(@ 16 min, 18 min,27 min, 43 min) # RAP: 18 CO: 5.4 # WAVEFORM PATTERNS: # Episode of hypotension # Pulsus paradox # TECHNICAL COMMENTS: # Arterial pop-test repeated @ 12 min - 13 min # RESPIRATORY DATA: # RATE: 18/18 bpm # MODE OF VENTILATION: # Controlled # CO2 RECORDING