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04-01-2016 | Rhythm Puzzle - Question | Uitgave 3/2016 Open Access

Netherlands Heart Journal 3/2016

The mystery of the fourth beat

Netherlands Heart Journal > Uitgave 3/2016
F. van den Brink, I. Frenaij, R. van Tooren
A previously fit and well 37-year-old woman collapsed on her doorstep. Her next door neighbour started cardiopulmonary resuscitation (CPR). A police car arrived at the scene as first responder. An automated external defibrillator was connected and administered two shocks in between which CPR was continued by the police officers. When the ambulance arrived she had a return of spontaneous circulation. Due to massive aspiration she was not intubated. Upon arrival at the Accident and Emergencies Department, we saw this ECG (Fig.  1). After stabilising the patient and intubating her, the ECG normalised almost completely.
What do you see?
You will find the answer elsewhere in this issue.

Conflict of interests

No conflict of interest reported.
Open Access This article is distributed under the terms of the Creative Commons Attribution License which permits any use, distribution, and reproduction in any medium, provided the original author(s) and the source are credited.

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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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