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23-05-2016 | Rhythm Puzzle Question | Uitgave 11/2016 Open Access

Netherlands Heart Journal 11/2016

A fatal combination of situs inversus, pregnancy and cardiac arrest treated with an automated external defibrillator

Netherlands Heart Journal > Uitgave 11/2016
S. Calle, M. De Leeuw, N. Mpotos, P. Calle, B. De Turck
A 34-year-old female suddenly collapsed and remained comatose. She was 6 months pregnant. Information on previous medical problems could not be obtained, due to a language barrier. Upon arrival of the first tier ambulance she was unresponsive with a pulse of 30 beats/min. A few minutes later, no pulse could be detected and basic life support was started with an automated external defibrillator (AED). Self-adhesive pads were placed in the conventional sternal-apical position. The first and second rhythm analyses led to a no-shock decision (Fig.  1). The third and fourth analyses gave rise to shocks (Fig.  2). The patient was transferred to the hospital with ongoing advanced cardiac life support and taken to the delivery room for caesarean section. Maternal and newborn resuscitation were unsuccessful. Forensic autopsy revealed situs inversus, but no apparent cause of death [ 13].
What do you think of the shock/no-shock decisions by the AED?


You will find the answer elsewhere in this issue.
Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (, which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.

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Netherlands Heart Journal

Het Netherlands Heart Journal wordt uitgegeven in samenwerking met de Nederlandse Vereniging voor Cardiologie en de Nederlandse Hartstichting. Het tijdschrift is Engelstalig en wordt gratis beschikbaa ...

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