mgh103 8 360/0.476 1728000 16:41:31 09/10/1992 mgh103.dat 212 388(501)/mV 12 0 437 6286 0 ECG lead I mgh103.dat 212 388(-38)/mV 12 0 46 20651 0 ECG lead II mgh103.dat 212 448(91)/mV 12 0 77 -16969 0 ECG lead V mgh103.dat 212 11.87(-1202)/mmHg 12 0 44 25158 0 ART mgh103.dat 212 20 12 0 -942 -25397 0 PAP mgh103.dat 212 17.58(-1485)/mmHg 12 0 -963 -6415 0 CVP mgh103.dat 212 1000 12 0 84 -9205 0 Resp. Imp. mgh103.dat 212 1000 12 0 1095 -28066 0 CO2 #: 71 : M : Resection and grafting of abdominal aortic aneurysm # PHARMACOLOGIC SUPPORT: # TNG paste # ELECTROCARDIOGRAPHIC DATA: # UNDERLYING RHYTHM: # Chaotic atrial rhythm with left bundle branch block @ 80 bpm # RHYTHM DISTURBANCES: # Atrial ectopy with occasional aberrant or blocked conduction # Multifocal ventricular ectopy # ECG INTERPRETATION: # Left atrial enlargement # Left axis deviation # Old anterior wall infarct # Non-specific ST segment and T wave abnormalities # TECHNICAL COMMENTS: # 6O-cycle artifact Lead I & III # Electrodes replaced @ 28 min - 33 min # Chest lead = V2 # HEMODYNAMIC DATA: # ART: 120/50 MEAN: 90 # RAP: 12 # WAVEFORM PATTERNS: # Right atrial tracing changes with Cheynes-Stokes due to effect on venous return # TECHNICAL COMMENTS: # CVP line used intermittently for medication infusion # Tracing recorded @ 18 min, 43 min, 51 min # Intermittent ART line damping # RESPIRATORY DATA: # RATE: 20 bpm # MODE OF VENTILATION: # Spontaneous # PATTERN: # Cheynes-Stokes