mgh008 8 360/0.476 1323908 mgh008.dat 212 1251(23)/mV 12 0 -704 44557 0 ECG lead I mgh008.dat 212 1216(-376)/mV 12 0 -815 5513 0 ECG lead II mgh008.dat 212 1235(-338)/mV 12 0 -412 28509 0 ECG lead V mgh008.dat 212 12.13(-1403)/mmHg 12 0 -1370 41652 0 ART mgh008.dat 212 20.56(-1100)/mmHg 12 0 -1195 20616 0 PAP mgh008.dat 212 20.1(-1103)/mmHg 12 0 -1120 49540 0 CVP mgh008.dat 212 1000 12 0 -641 50511 0 Resp. Imp. mgh008.dat 212 1000 12 0 -83 60672 0 CO2 #: 71 : F : Colon resection; Prosthetic valve; Endocarditis # PERTINENT HISTORY: # Aortic stenosis and regurgitation # Slight tricuspid regurgitation # s/p mitral valve replacement # ELECTROCARDIOGRAPHIC DATA: # UNDERLYING RHYTHM: # Atrial fibrillation with ventricular demand pacing @ 80 bpm # PACEMAKER DATA: # Permanent ventricular demand pacing (VVI) # Unipolar wire # Specifics unavailable # ECG INTERPRETATION: # minor nonspecific ST segment and T wave abnormalities # HEMODYNAMIC DATA: # ART: 100/60 MEAN: 70 # PAP: 34/16 PCW: 14 (@ 9 min, 16 min, 21 min, 30 min, 33 min) # RAP: 10 # WAVEFORM PATTERNS: # "V waves" in PCW due to reduced atrial compliance with atrial hypertropy # "V waves" in CVP due to tricuspid regurgitation # Retrograde V wave spikes in the PA trace # Intermittent "overwedge" configuration is noted in PCW @ 30 min # Respiratory variation # RESPIRATORY DATA: # RATE: 16 bpm # MODE OF VENTILATION: # Spontaneous