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A 62-year-old woman known with a depressive disorder but unremarkable cardiovascular history was admitted to our emergency department in a state of unconsciousness. Her husband had found her unconscious at home and called an ambulance. She had no history of syncope or suicidality. Physical examination demonstrated a Glasgow Coma Scale of E 1M 5V 1 without any lateralising neurological symptoms. She was haemodynamically stable, but was intubated because of failure to maintain airway tone due to unconsciousness. She had no fever. Laboratory results showed: sodium 150 mmol/l, potassium 3.2 mmol/l, a normal glomerular filtration rate, haemoglobin 7.6 mmol/l; normal thrombocytes and leucocytes. The ECG on admission is shown in Fig. 1.
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R. Joustra, F.N. Polderman, J.L. Smeets, M.C. Daniëls and M. Boulaksil declare that they have no competing interest.
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.
- Typical ECG findings in an unconscious patient
F. N. Polderman
J. L. Smeets
M. C. Daniëls
- Bohn Stafleu van Loghum