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Clinical Problem-Solving
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Volume 332:1221-1225 May 4, 1995 Number 18
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When You Only Live Twice
Sami Viskin, M.D., and Bernard Belhassen, M.D.

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A 22-year-old man was apparently in good health until, suddenly and without warning, he lost consciousness in the back seat of a car. The patient was rushed to a nearby clinic, where he was found to be apneic and to have no pulse. Electrocardiographic monitoring revealed ventricular fibrillation. Cardiopulmonary resuscitation was carried out, and after repeated direct-current shocks, sinus rhythm was restored. The patient was hospitalized.

The causes of sudden death are many and are usually presented in double-page, small-print tables in textbooks. The absence of symptoms before the catastrophic event in this case allows me to concentrate on cardiac . . . [Full Text of this Article]

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