mgh028 8 360/0.476 1571480 mgh028.dat 212 750/mV 12 0 -795 7667 0 ECG lead I mgh028.dat 212 750/mV 12 0 -813 63501 0 ECG lead II mgh028.dat 212 750/mV 12 0 -754 59587 0 ECG lead V mgh028.dat 212 11.86(-1230)/mmHg 12 0 712 31782 0 ART mgh028.dat 212 20.84(-1063)/mmHg 12 0 -767 39975 0 PAP mgh028.dat 212 20/mmHg 12 0 -1023 3859 0 CVP mgh028.dat 212 1000 12 0 -687 9161 0 Resp. Imp. mgh028.dat 212 1000 12 0 -1375 13158 0 CO2 #: 49 : F : Unstable post-infarction angina # PERTINENT HISTORY: # Mitral regurgitation # GENERAL COMMENTS: # Recording of PA and PCW during V pacing @ 0-4 min # Stop/FFW @ 4 min - 5 min # Record @ 5 min - 6 min # Stop/FFW @ 6 min - 7 min # Chest pain resolving @ 0 - 7 min # Set-up sequence @ 45 min - 52 min # ELECTROCARDIOGRAPHIC DATA: # UNDERLYING RHYTHM: # Ventricular pacing @ 70 bpm # RHYTHM DISTURBANCES: # First degree heart block # Transient acceleration of underlying sinus rhythm with RBBB near end of recording # PACEMAKER DATA: # Permanent ventricular demand pacemaker (WI) # Medtronic 8423 pulse generator # Pulse width .496 msec # Sensitivity 2.5 mv # Refractory period 324 msec # ECG INTERPRETATION: # Antero-septal infarct # Inferior infarct # Left anterior hemiblock # Left axis deviation # TECHNICAL COMMENTS: # Pace channel on @ 23 min # ECG cal after 52 min # Frequent movement artifact # HEMODYNAMIC DATA: # ART: 92/60 # PAP: 44/22 PCW: 20 (@ 359 min) # WAVEFORM PATTERNS: # The pulmonary arterial channel illustrates the following configurations in sequence @ 0-4 min: # 1) PCW cannon waves due to A-V asynchrony, # 2) slight normalization of cannon waves (when P preceds QRS), with evidence of V waves in PCW due to mitral regurgitation, # 3) cannon waves, # 4) V waves during NSR, and # 5) pulmonary arterial configuration. # The arterial trace exhibits minor changes in configuration during normal sinus rhythm when atrio-ventricular synchrony is restored. # RESPIRATORY DATA: # RATE: 20 bpm # MODE OF VENTILATION: # Spontaneous