mgh180 8 360/0.476 1542240 16:27:57 07/06/1991 mgh180.dat 212 370(-280)/mV 12 0 -236 14994 0 ECG lead I mgh180.dat 212 342(-252)/mV 12 0 -20 24930 0 ECG lead II mgh180.dat 212 209(-375)/mV 12 0 178 -9733 0 ECG lead V mgh180.dat 212 12(-1440)/mmHg 12 0 -1440 31639 0 ART mgh180.dat 212 20.3(-1614)/mmHg 12 0 -1638 -20858 0 PAP mgh180.dat 212 19.24(-1005)/mmHg 12 0 -1056 19126 0 CVP mgh180.dat 212 1000 12 0 822 12238 0 Resp. Imp. mgh180.dat 212 1000 12 0 -951 18645 0 CO2 #: 61 : F : Abdominal aortic aneurysm resection and grafting; Aortobifemoral bypass graft # PERTINENT HISTORY: # Hypertension # Smoking # PHARMACOLOGIC SUPPORT: # Dopamine 300 mcg/min then 600 mcg/min, then discontinued # Neosynephrine @ 20 mcg/min, then 40 mcg /min # GENERAL COMMENTS: # Extremely agitated # Motion artifact # ELECTROCARDIOGRAPHIC DATA: # UNDERLYING RHYTHM: # Sinus tachycardia @ 114 bpm # ECG INTERPRETATION: # Left atrial enlargement # ? Left ventricular hypertrophy # TECHNICAL COMMENTS: # Wandering baseline # Electrode contact lost near end of recording # HEMODYNAMIC DATA: # ART: 100/50 MEAN: 67 # PAP: 30/16 PCW: 14 (@ 41 min, 46 min, 62 min, 63 min) # RAP: 12 CO: 6.5 # WAVEFORM PATTERNS: # Unusual contour changes in CVP # Off pressors, hypotensive @ 32 min # Normotensive @ 36 min # Pulsus paradox # TECHNICAL COMMENTS: # CVP off for CO @ 32 min # RESPIRATORY DATA: # RATE: 8/24 changed to 6/24 bpm # MODE OF VENTILATION: # Intermittent mandatory ventilation # CO2 RECORDING # COMMENTS: # Dyscoordinate breathing