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Cardiac arrest and abnormal ECG in a 16-year-old male patient
  1. Víctor Marcos-Garcés1,
  2. Javier Muñiz2,
  3. Daniele Luiso3
  1. 1 Department of Cardiology, Hospital Clinico Universitario de Valencia, Valencia, Spain
  2. 2 Department of Cardiology, University of Navarra Clinic, Pamplona, Spain
  3. 3 Department of Cardiology, Bellvitge University Hospital, L'Hospitalet de Llobregat, Spain
  1. Correspondence to Dr Víctor Marcos-Garcés, Department of Cardiology, Hospital Clinico Universitario de Valencia, Valencia 46010, Spain; vic_mg_cs{at}hotmail.com

http://dx.doi.org/10.1136/heartjnl-2020-317091

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    Clinical introduction

    We present the case of a 16-year-old male patient with a history of anxiety disorder who presented with a cardiopulmonary arrest at his home. The first cardiac rhythm (+0) was remarkable for irregular and very wide, aberrated QRS complexes (320 ms) without identifiable atrial activity. Cardiopulmonary resuscitation manoeuvres were initiated. He was intubated and transferred to the acute cardiac care unit.

    In the immediate ECG (+2 hours) irregular, very wide (320 ms), aberrated and right-bundle-branch-like morphology QRS complexes persisted, but after several hours of treatment (+15 hours) a sinusal activity started, QRS complexes shortened (160 ms) and a specific ECG pattern was noted on right precordial …

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    Footnotes

    • Twitter @vic__marcos, @DanieleLuiso

    • Contributors All authors have participated in the work and have reviewed and agree with the content of the article.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Patient and public involvement Patients and/or the public were not involved in the design, or conduct, or reporting, or dissemination plans of this research.

    • Patient consent for publication Obtained.

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