mgh010 8 360/0.476 1872872 mgh010.dat 212 1185(0)/mV 12 0 -784 26750 0 ECG lead I mgh010.dat 212 1185(0)/mV 12 0 -814 36874 0 ECG lead II mgh010.dat 212 1185(0)/mV 12 0 -756 10947 0 ECG lead V mgh010.dat 212 13.16(-1515)/mmHg 12 0 -1400 43431 0 ART mgh010.dat 212 20.54(-996)/mmHg 12 0 -1376 42413 0 PAP mgh010.dat 212 20.18(-1000)/mmHg 12 0 -1236 1574 0 CVP mgh010.dat 212 1000 12 0 -700 33588 0 Resp. Imp. mgh010.dat 212 1000 12 0 -85 39699 0 CO2 #: 56 : F : Mitral regurgitation; Prosthetic mitral valve endocarditis; Pneumonia # PERTINENT HISTORY: # sip mitral valve replacement (porcine) # PHARMACOLOGIC SUPPORT: # Initial rates: Nipride @ 125 mcg/mln; Dobutamine @ 686 mcg/min # Adjusted rates: Nipride to 50 mcg/min; Dopamine @ 150 mcg/min; # Dobutamine unchanged # ELECTROCARDIOGRAPHIC DATA: # UNDERLYING RHYTHM: # Sinus tachycardia with first degree heart block @ 120 bpm # RHYTHM DISTURBANCES: # Multifocal ventricular ectopy # Occasional couplets # Short runs of ventricular tachycardia # Changing P-R ? Wenckebach pattern # ECG INTERPRETATION: # Non-specific STT wave changes # Probable right ventricular hypertrophy # HEMODYNAMIC DATA: # ART: 98/60 # PAP: 80/35 PCW: 36 (V wave = 42) (@ 30 min, 42 min, 47 min, 61 min, 61 min) # RAP: 16 # WAVEFORM PATTERNS: # Intermittent "V waves" in pulmonary capillary wedge tracing # Unusual CVP trace due to heart block # Intermittent cannon waves # Pulmonary hypertension # Respiratory variation # TECHNICAL COMMENTS: # CVP off @ 57 min # RESPIRATORY DATA: # RATE: 17 bpm # MODE OF VENTILATION: # Spontaneous