mgh067 8 360/0.476 1447200 16:55:31 08/12/1992 mgh067.dat 212 229(1)/mV 12 0 16 13066 0 ECG lead I mgh067.dat 212 259(-26)/mV 12 0 15 29124 0 ECG lead II mgh067.dat 212 218(21)/mV 12 0 34 -14237 0 ECG lead V mgh067.dat 212 11.5(-1402)/mmHg 12 0 16 -19881 0 ART mgh067.dat 212 20 12 0 2047 20338 0 PAP mgh067.dat 212 5000 12 0 -1026 -14738 0 CVP mgh067.dat 212 3000 12 0 43 25570 0 Resp. Imp. mgh067.dat 212 5000 12 0 1032 -24544 0 CO2 #: 64 : F : Redo coronary artery bypass graft # GENERAL COMMENTS: # Stop/FFW @ 12 min and 51 min - 52 min # Coughing @ 61 min # ELECTROCARDIOGRAPHIC DATA: # UNDERLYING RHYTHM: # Atrial pacing with incomplete right bundle branch block @ 87 bpm # RHYTHM DISTURBANCES: # Competition # PACEMAKER DATA: # Temporary atrial fixed rate pacing (AOO) # Epicardial wires # Medtronic 5330 pulse generator # MA 15 # ECG INTERPRETATION: # Left atrial hypertrophy # Old inferior infarct # ST segment and T wave abnormalities consistent with lateral ischemia digitalis effect # TECHNICAL COMMENTS: # Wandering baseline # Electrodes changed @ 44 min # HEMODYNAMIC DATA: # ART: 170/44 MEAN: 84 # PAP: 52/23 PCW: 19 (not recorded) # RAP: 15 LAP: 17 CI: 3.2 # INTRA-AORTIC BALLOON DATA: # 40 cc balloon # Aries console # 1 :4 balloon ratio # WAVEFORM PATTERNS: # Radial and aortic lumen traces # Balloon console intermittently sensing atrial pacing spike as R wave from 0 min to 12 min interfering with timing. # Good timing restored from 12 min # Timing adjusted from 58 min - 60 min # Timing poor from 60 min to 61 min # TECHNICAL COMMENTS: # PA/CVP/LAP on same transducer. # No final pop-tests # ECG and BP curve output from console recorded on CH8 and CH12, respectively, from 36 min - 51 min # BP curve is substituted for aortic lumen tracing on AUX channel 10 due to saturation of CH8 @ 55 min # (Signal is still clipped on CH8) # RESPIRATORY DATA: # RATE: 5/27 bpm # MODE OF VENTILATION: # Intermittent mandatory ventilation