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Martin Duke, MD
Manchester (Conn) Memorial Hospital

JAMA. 1970;211(5):829.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

To the Editor:—

In the course of patient monitoring, unusual electrocardiographic patterns may arise from causes other than electrical events of the cardiac cycle. The following episode initially was considered to be one of arrhythmia, until further study proved otherwise.

Report of a Case:—

A 27-year-old man suffered a cardiac arrest, apparently after an electric shock. At the time of arrival at the hospital, the patient was cyanotic, pulseless, and not breathing. Cardiac resuscitative measures reverted cardiac standstill to ventricular fibrillation, the latter reverting to normal sinus rhythm on electrical defibrillation. Within a few minutes the pulse, blood pressure, and ventilation were maintained without additional manual or other assistance, although the patient remained unconscious due to brain damage. A tracheostomy was performed. The ECG on the monitor indicated normal sinus rhythm, 90 beats per minute.

After 28 hours the ECG pattern suddenly changed, showing what appeared to be a rapid . . . [Full Text PDF of this Article]

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