mgh241 8 360/0.476 1868400 15:29:20 10/09/1991 mgh241.dat 212 1000(-300)/mV 12 0 -378 23174 0 No ECG mgh241.dat 212 290(-200)/mV 12 0 -12 -5695 0 ECG lead II mgh241.dat 212 290(75)/mV 12 0 -21 2807 0 ECG lead V mgh241.dat 212 8(-750)/mmHg 12 0 -10 4454 0 ART mgh241.dat 212 45(-750)/mmHg 12 0 -14 -21943 0 PAP mgh241.dat 212 95(-10)/mmHg 12 0 -17 24401 0 CVP mgh241.dat 212 1000 12 0 -14 -16224 0 No signal mgh241.dat 212 1000 12 0 1014 -24815 0 No signal # AGE/SEX: # 61 year old male # DIAGNOSIS: # Coronary artery disease # Congestive heart failure # Mild mitral regurgitation # PROCEDURE: # LV aneurysmectomy # ECG DATA: # LEADS: # II,V4 # RHYTHM: # Ventricular pacing @ 100 bpm # PACEMAKER DATA: # Permanent = Atomic ventricular pacer # Pre-bypass = Swan-Ganz temporary pacer # Post-bypass = temporary epicardial pacing # RHYTHM CHANGES: (Tapes 209, 210, and 211) # Ventricular ectopy # Asystolic episode # Single and dual chamber pacing (competition) # Ventricular fibrillation # Dual chamber pacing # ECG INTERPRETATION: # Antero-lateral infarct # STI wave change post-bypass # HEMODYNAMIC DATA: # ART: 132/60 # PA: 50/ (37) PCW: 25 # CVP: 15 # CO: 2.6 (1st); 4.0 (30 min later) # NOTE: Cannon or V waves with V Pacing # PROCEDURAL EVENTS: RHYTHM/PRESSURE CHANGES: # SET-UP # 0-11 sec ECG CAL # 14/17 sec ZERO/CAL OF 200 CH9 # 1 min STOP/FFW/START # 2 min CHANGE CH4 LEVEL # 2 min ZERO/CAL OF 40 CH 11 # 2-3 min ZERO/CAL OF 40 CH8 # 14 min SWAN-GANZ INSERTION # 23 min RIGHT VENTRICLE RV # 23 min PULMONARY ARTERY PA # 23 min PCW PCW # 24 min ANNOTATION # 25 min ZERO/CAL OF 40 CH 11 # 26 min ZERO/CAL OF 40 CH8 # 26 min ZERO/CAL OF 200 CH9 # CHANGE IN ARTERIAL CONTOUR: # Nipride/Volume/increased cardiac output # 28 min CHANGE IN ZERO CH 11 # 28 min CHANGE IN ZERO CH 11