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A 42-year-old woman collapses in a park
  1. Meghan K Borden Trojan1,
  2. Sandeep M Patel2,
  3. Stephen C Cook3
  1. 1 Division of Internal Medicine, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, USA
  2. 2 Division of Cardiology, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, USA
  3. 3 Division of Adult Congenital Heart Disease, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, USA
  1. Correspondence to Dr Meghan K Borden Trojan, Division of Internal Medicine, University of Pittsburgh Medical Center, 5230 Centre Ave, Room 209, North Tower, Pittsburgh, PA 15232, USA; Bordenmk{at}upmc.edu

http://dx.doi.org/10.1136/heartjnl-2014-306826

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    Clinical introduction

    A 42-year-old women with a history of mitral regurgitation was playing tennis when she suddenly collapsed. Bystanders performed cardiopulmonary resuscitation. An automated external defibrillator revealed polymorphic ventricular tachycardia. The patient was shocked once with 200 J with return of spontaneous circulation. She was brought to the emergency department where her vitals revealed a heart rate of 133 beats/min, a respiratory rate of 30 breaths/min, an oxygen saturation of 89% and a blood pressure of 124/98 mm Hg. She was intubated. The chest X-ray revealed cardiomegaly. An ECG revealed sinus tachycardia, left axis deviation, Q waves in V1–V3, lateral T-wave inversions, a non-specific …

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    Footnotes

    • Competing interests None declared.

    • Provenance and peer review Not commissioned; externally peer reviewed.