E. Cardiovascular complications
(1) Alterations in hemodynamics: documentation of pulmonary 			 hypertension, increased pulmonary vascular resistance, or left ventricular 			 dysfunction by pressure and cardiac output measurements. Any one of the 			 following: pulmonary artery pressure > 40 systolic, wedge pressure > 18, 			 cardiac index < 2.
(2) Arrhythmias: documentation on electrocardiogram or 			 rhythm strips of significant ventricular arrhythmias or heart block. Include 			 only events that require medical therapy, cardioversion or pacing.