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Previous Volume 353:824-832 August 25, 2005 Number 8 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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Presentation of Case

An unidentified black man who appeared to be approximately 40 years of age was brought to the emergency department of this hospital after suddenly losing consciousness. Witnesses had seen the patient jogging, and then they saw him suddenly stop, arch his back, and fall backward to the ground, striking the back of his head. Personnel from emergency medical services found him lying supine on the ground, unconscious, with stertorous respirations.

At the scene, the respiratory rate was 36 breaths per minute, the blood pressure 140/110 mm Hg, and the pulse 120 beats per minute. The blood glucose level was 140 . . . [Full Text of this Article]

Differential Diagnosis

Dr. William D. Binder's Diagnosis

Pathological Discussion

Discussion of Management

Anatomical Diagnosis

Source Information

From Emergency Services (W.D.B.), the Cardiology Division (M.A.F.), and the Departments of Pediatric Cardiology (M.E.K.) and Pathology (J.R.S.), Massachusetts General Hospital; and the Departments of Medicine (W.D.B., M.A.F.), Pediatrics (M.E.K.), and Pathology (J.R.S.), Harvard Medical School.

Related Letters:

Case 26-2005: Loss of Consciousness while Jogging
van Dijk J. G., Benditt D. G., Brignole M.
Extract | Full Text | PDF  
N Engl J Med 2006; 354:209, Jan 12, 2006. Correspondence

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• Fifer, M. A. (2007). Most Fully Informed Patients Choose Septal Ablation Over Septal Myectomy. Circulation 116: 207-216 [Full Text]  
• van Dijk, J. G., Benditt, D. G., Brignole, M. (2006). Case 26-2005: Loss of Consciousness while Jogging. NEJM 354: 209-209 [Full Text]