Shock first, ask questions later….

Q3 Medicine

Acute Medicine Pub Date : 2022-04-01 DOI:10.52964/AMJA.0905

B. Brown, M. Jackson

引用次数: 0

Abstract

A 39-year-old man presented to the Emergency Department following a sudden onset of palpitations an hour earlier. He was clammy and felt generally unwell. He was normally fit and active with no history of cardiac symptoms including palpitations - he mentioned as a teenager he was told that he had an 'extra bit of wiring in his heart' but nothing further was done. His only regular medication was Sertraline. He drank alcohol to excess. On examination, he was hypotensive but pain free. Bloods including potassium and magnesium were within normal limits - venous lactate was mildly elevated at 2.8.

查看原文本刊更多论文

先震惊，后提问…。

一名39岁的男子在一小时前突然出现心悸后来到急诊科。他浑身湿漉漉的，全身不舒服。他身体健康，身体活跃，没有心悸等心脏症状。他说，十几岁的时候，他被告知“心脏里有一段额外的线路”，但没有做任何进一步的检查。他唯一的常规药物是舍曲林。他酗酒过度。经检查，他有低血压，但无疼痛。血液包括钾和镁在正常范围内-静脉乳酸轻度升高至2.8。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Acute Medicine Medicine-Emergency Medicine

CiteScore

1.50

自引率

0.00%

发文量

期刊介绍： These are usually commissioned by the editorial team in accordance with a cycle running over several years. Authors wishing to submit a review relevant to Acute Medicine are advised to contact the editor before writing this. Unsolicited review articles received for consideration may be included if the subject matter is considered of interest to the readership, provided the topic has not already been covered in a recent edition. Review articles are usually 3000-5000 words and may include tables, pictures and other figures as required for the text. Include 3 or 4 ‘key points’ summarising the main teaching messages.