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Open Access 18-10-2018 | Rhythm Puzzle – Question

Worth one’s salt

Auteurs: A. E. Schaafsma, E. A. van der Have, H. Lameijer

Gepubliceerd in: Netherlands Heart Journal | Uitgave 12/2018

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A 37-year-old male patient was brought to the emergency department by emergency medical services. His past medical history included a suicide attempt by medication overdose. Physical examination showed shallow breathing with normal oxygenation, a heart rate of 117 bpm, blood pressure of 116/78 mm Hg, capillary refill time of 3 s and a Glasgow Coma Scale score of 1-1-1 (E-M-V); the pupils were wide, equal and reactive to light. During the emergency department visit the patient suffered three epileptic seizures, which were treated with midazolam intravenously. After emergency endotracheal intubation by the emergency physician, an electrocardiogram was performed (Fig. 1). Which abnormalities should be a further guide to the diagnosis in this patient? How should this patient be treated?

Answer

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 (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

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Metagegevens
Titel
Worth one’s salt
Auteurs
A. E. Schaafsma
E. A. van der Have
H. Lameijer
Publicatiedatum
18-10-2018
Uitgeverij
Bohn Stafleu van Loghum
Gepubliceerd in
Netherlands Heart Journal / Uitgave 12/2018
Print ISSN: 1568-5888
Elektronisch ISSN: 1876-6250
DOI
https://doi.org/10.1007/s12471-018-1191-4