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11-04-2019 | Rhythm Puzzle – Question | Uitgave 5/2019 Open Access

Netherlands Heart Journal 5/2019

A young man with exertional chest discomfort

Netherlands Heart Journal > Uitgave 5/2019
L. E. Lezcano Gort, B. Roque Rodríguez, M. R. Porro Fernández
In this case we present a 43-year-old athletic male, nonprofessional cyclist with unremarkable medical history. He had been admitted to the emergency department because of chest discomfort, dizziness, heavy sweating and nausea after cycling 40 km in extreme heat (local temperature 41.5 degrees Celsius). Physical examination revealed a Glasgow Coma Scale score of 15, and he was haemodynamically stable. The laboratory results showed: creatine kinase 870 IU/l, creatine kinase-MB 12 IU/l, troponin T 16 ng/ml, and creatinine 1.6 mg/dl. Out-of-hospital electrocardiogram taken at first medical contact is shown in Fig.  1.
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Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License ( http://​creativecommons.​org/​licenses/​by/​4.​0/​), 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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