JAMA Internal Medicine ( IF 22.5 ) Pub Date : 2018-02-01 , DOI: 10.1001/jamainternmed.2017.6318 Alicia Morehead-Gee 1 , Arun Padmanabhan 1, 2 , Nora Goldschlager 1, 2
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A man in his 80s with unknown medical history was brought to the emergency department after a cardiac arrest. According to paramedics, the patient was last seen to be healthy by his family 4 hours earlier, then was found unresponsive and pulseless in the bathroom.
His initial rhythm was reported by paramedics as pulseless electrical activity. He underwent cardiopulmonary resuscitation, receiving 4 doses of epinephrine intravenously and endotracheal tube intubation with return of spontaneous circulation after approximately 10 minutes. His initial electrocardiogram (ECG) is shown in Figure 1. The patient had not been previously seen at our facility and no prior ECG was available for comparison.
中文翻译：
不是您典型的ST抬高型心肌梗死
心脏骤停后，一名80多岁，病史不明的男子被带到急诊科。根据护理人员的说法，患者最后一次被家人发现是在4小时之前健康的，然后在浴室被发现无反应和无脉动。
医护人员报告他的最初节律为无脉动电活动。他接受了心肺复苏术，静脉内接受了4剂量的肾上腺素和气管插管，并在大约10分钟后恢复了自发性循环。他的初始心电图（ECG）如图1所示。该患者先前未在我们的医院见过，也没有先前的ECG可用于比较。
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