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Case Reports
. 2021 Apr 1;181(4):542-543.
doi: 10.1001/jamainternmed.2020.8370.

Unusual Cause of Cardiac Arrest

Affiliations
Case Reports

Unusual Cause of Cardiac Arrest

Takahiro Tsushima et al. JAMA Intern Med. .
No abstract available

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Figures

Figure.
Figure.. Electrocardiogram (ECG) Rhythm
The patient’s ECG rhythm is shown before using the bedside commode (A), after developing unresponsiveness during defecation (B), and 1 minute after developing the unresponsiveness (C). After developing unresponsiveness during defecation, the initial ECG rhythm demonstrated an ectopic atrial rhythm, with an atrial cycle length (CL) of 920 milliseconds and prolonged PR interval (240 ms) (A). The rhythm progressed to 2:1 atrioventricular block 25 seconds later (B). One minute later, the patient developed sinus bradycardia (atrial CL, 1320 ms) with complete heart block (C). The recorded ECG shows a few different letters on each QRS wave, such as “N”, “?”, or “M.” These are associated with the setting of our telemetry machine but did not mean any specific information.

Comment in

  • Advanced Cardiac Life Support Algorithms.
    Gallen R, McKittrick M, Tuohy S. Gallen R, et al. JAMA Intern Med. 2021 Aug 1;181(8):1141. doi: 10.1001/jamainternmed.2021.3177. JAMA Intern Med. 2021. PMID: 34180940 No abstract available.
  • Advanced Cardiac Life Support Algorithms-Reply.
    Tsushima T, Patel TR, Sahadevan J. Tsushima T, et al. JAMA Intern Med. 2021 Aug 1;181(8):1141-1142. doi: 10.1001/jamainternmed.2021.3174. JAMA Intern Med. 2021. PMID: 34180962 No abstract available.

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