mgh137 8 360/0.476 1756080 16:00:32 31/05/1991 mgh137.dat 212 294(-370)/mV 12 0 -352 30143 0 ECG lead I mgh137.dat 212 244(-104)/mV 12 0 -84 -18246 0 ECG lead II mgh137.dat 212 239(-61)/mV 12 0 -49 -31915 0 ECG lead V mgh137.dat 212 11.81(-1507)/mmHg 12 0 -1505 31831 0 ART mgh137.dat 212 20.24(-1315)/mmHg 12 0 -1314 29461 0 PAP mgh137.dat 212 19.22(-1435)/mmHg 12 0 -1448 26958 0 CVP mgh137.dat 212 1000 12 0 -223 31290 0 Resp. Imp. mgh137.dat 212 1000 12 0 -1002 -7443 0 CO2 #: 60 : F : Axillo-popliteal bypass graft # PERTINENT HISTORY: # Coronary disease # Smoker # PHARMACOLOGIC SUPPORT: # Dopamine @ 150 mcg/min # COMMENTS: # Severe hyperkalemia results in a variety of progressively worsening arrhythmias # Arrhythmias resolve with potassium therapy on mgh020 # ELECTROCARDIOGRAPHIC DATA: # UNDERLYING RHYTHM: # Junctional rhythm with right bundle branch block @ 96 bpm # RHYTHM DISTURBANCES: # Runs of junctional tachycardia @ 63 min # Atrial ectopy # ECG INTERPRETATION: # Low voltage # Nonspecific St segment and T wave abnormalities # HEMODYNAMIC DATA: # ART: 110/70 MEAN: 75 # PAP: 36/20 PCW: 14(@ 4 min,21 min,41 min) # RAP: 11 CO: 3.2 # WAVEFORM PATTERNS: # Episodes of hypotension # Fluctuations in hemodynamic pattern due to arrhythmias # TECHNICAL COMMENTS: # Zero to CVP and PAP @ 38 min # Final zero/cal/pop-test sequence on mgh020 # RESPIRATORY DATA: # RATE: 7/7 bpm # MODE OF VENTILATION: # Controlled ventilation # CO2 RECORDING