mgh156 8 360/0.476 1382400 19:35:22 09/10/1992
mgh156.dat 212 377(481)/mV 12 0 453 16468 0 ECG lead I
mgh156.dat 212 397(-83)/mV 12 0 49 -10846 0 ECG lead II
mgh156.dat 212 384(10)/mV 12 0 84 -14007 0 ECG lead V
mgh156.dat 212 12.04(-1269)/mmHg 12 0 48 7294 0 ART
mgh156.dat 212 19.52(-965)/mmHg 12 0 -932 14753 0 PAP
mgh156.dat 212 20 12 0 -959 -2567 0 CVP off
mgh156.dat 212 1000 12 0 94 -3741 0 Resp. Imp.
mgh156.dat 212 1000 12 0 1110 31492 0 CO2
#<age>: 41 <sex>: M <diagnoses>: Congestive heart failure
# PERTINENT HISTORY:
# Severe mitral stenosis
# Moderate mitral regurgitation
# Aortic stenosis
# s/p AVR and MVR 10 years earlier
# PHARMACOLOGIC SUPPORT:
# Dopamine @ 213 mcg/min
# Epinephrine @ 2.1 mcg/min
# Isuprel @ 2.5 mcg/min
# GENERAL COMMENTS:
# Hypothermic @ 91.9F
# ELECTROCARDIOGRAPHIC DATA
# UNDERLYING RHYTHM:
# Normal sinus rhythm with incomplete right bundle branch block @ 90 bpm
# ECG INTERPRETATION:
# Rightward axis shift
# Right ventricular strain
# Left atrial enlargement
# HEMODYNAMIC DATA:
# ART: 100/50 (axillary)
# PAP: 83/56 PCW: 30 (@ 17 min, 27 min, 41 min)
# RAP: 15
# WAVEFORM PATTERNS:
# V waves due to mitral regurgitation in PCW trace
# Pulmonary hypertension
# Anacrotic notch on arterial trace due to aortic stenosis
# Pulsus paradox
# TECHNICAL COMMENTS:
# CVP and PAP on single transducer
# CVP data inaccurate? medications infused simultaneously
# Zero @ 9 min
# CVP recording @ 14 min - 15 min
# RESPIRATORY DATA:
# RATE: 18 bpm
# MODE OF VENTILATION:
# Controlled