Case No. 14

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Case No. 14

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Chief Complaint:

Patient in cardiac arrest

Published: April 25, 2017
Case No. 14
Author: Medzcool
CASE SCENARIO

You diagnose a patient with Brugada syndrome, he’s 33 years old, with no other past medical history. You want to admit the patient from the emergency department for further evaluation, but the patient decides to leave against medical advice. Two weeks later the patient returns in cardiac arrest. You perform 2 rounds of cardiopulmonary resuscitation and are able to get return of spontaneous circulation and you are able to adequately resuscitate the patient. You suspect that the arrest is associated with his Brugada syndrome.

QUESTION

If you were able to obtain an EKG immediately before his arrest, what rhythm would you expect to find?

Unstable supraventricular tachyarrhythmia
Severe bradycardia leading to a bradycardiac arrest
QRS prolongation in an associated sinusoidal pattern
Ventricular Fibrillation