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A 42-year-old man presented after accidental drug overdose complicated by out-of-hospital cardiac arrest. The patient underwent cardiopulmonary resuscitation with successful return of spontaneous circulation and was admitted to the intensive… Click to show full abstract
A 42-year-old man presented after accidental drug overdose complicated by out-of-hospital cardiac arrest. The patient underwent cardiopulmonary resuscitation with successful return of spontaneous circulation and was admitted to the intensive care unit for postcardiac arrest care, which included targeted temperature management (TTM). Urine toxicology screen was positive for cocaine. Initial ECG showed normal sinus rhythm at 84 bpm with incomplete right bundle branch block (RBBB) (figure 1A). During cooling to 33.7°C, ST-segment elevations were noted on the bedside monitor. Follow-up ECG showed sinus bradycardia at 44 bpm with incomplete RBBB, ST-elevations with superimposed J-waves and ‘saddleback appearance’, resembling type …
Journal Title: Heart
Year Published: 2020
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