mgh125 8 360/0.476 1810080 12:24:41 05/06/1991 mgh125.dat 212 250(-360)/mV 12 0 -344 -5639 0 ECG lead I mgh125.dat 212 250/mV 12 0 -4 -14086 0 ECG lead II mgh125.dat 212 250/mV 12 0 -45 -11218 0 ECG lead V mgh125.dat 212 10(-948)/mmHg 12 0 -648 23306 0 ART mgh125.dat 212 20 12 0 1883 -7572 0 PAP mgh125.dat 212 20 12 0 1869 29914 0 CVP mgh125.dat 212 1000 12 0 -70 -4417 0 Resp. Imp. mgh125.dat 212 1000 12 0 -934 -20127 0 CO2 #: 76 : M : Sub-total gastrectomy/duodenostomy # PERTINENT HISTORY: # Smoking # PHARMACOLOGIC SUPPORT: # Levophed @ 30 mcg/min # Dopamine @ 187 mcg/min # ELECTROCARDIOGRAPHIC DATA: # UNDERLYING RHYTHM: # Sinus tachycardia @ 96 bpm # RHYTHM DISTURBANCES: # Atrial ectopy, occasional blocked conduction, ? occasional aberrant conduction # Junctional escape beat # Supraventricular tachycardia # Ventricular escape beat # Idioventricular rhythm @ 66 min # ECG INTERPRETATION: # Non-specific sn wave changes # Low voltage # Poor R wave progression consistent with old anterior scar or pericardial effusion # HEMODYNAMIC DATA: # ART: 90/50 MEAN: 66 # PAP: 34/16 PCW: 16(@ 11 min, 18 min, 51 min) # RAP: 12 # WAVEFORM PATTERNS: # Pressure change @ 66 min # Hypotension # Pulsus paradox # Giant A wave in CVP trace # "Catheter whip" in PA trace # Respiratory variation # TECHNICAL COMMENTS: # Arterial line on @ 14 min # Zero @ 15 min, 17 min, 73 min # RESPIRATORY DATA: # RATE: 8/24 bpm # MODE OF VENTILATION: # Intermittent mandatory ventilation