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Previous Volume 353:2492-2501 December 8, 2005 Number 23 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

Dr. Alex Manini (Emergency Medicine): A 35-year-old man was brought to the emergency department of this hospital by ambulance after a cardiac arrest while sleeping.

According to his partner and his brother, the patient had been in good health. His partner reported being awakened from sleep by a scream from the patient, who groaned once and then became unresponsive, with agonal breathing and a bluish skin color. The patient's partner called 911 and initiated mouth-to-mouth "rescue" breathing, but not chest compressions. Personnel from emergency medical services arrived at the scene 6 to 8 minutes later, approximately 11 minutes after the . . . [Full Text of this Article]

Differential Diagnosis

Management of Cardiac Arrest Due to Ventricular Fibrillation

Differential Diagnosis of Ventricular Fibrillation–Induced Arrest

Noncardiac Causes of Ventricular Fibrillation

Cardiac Causes of Ventricular Fibrillation

The Brugada Syndrome

Dr. Keith Marill's Diagnosis

Diagnostic Discussion

Discussion of Management

Source Information

From the Department of Emergency Medicine (K.A.M.) and the Cardiology Division (P.T.E.), Massachusetts General Hospital; and the Division of Emergency Medicine (K.A.M.) and the Department of Medicine (P.T.E.), Harvard Medical School — both in Boston.

Related Letters:

Case 37-2005: A Man with Cardiac Arrest while Sleeping
Martini B., Marill K., Ellinor P., Manini A.
Extract | Full Text | PDF  
N Engl J Med 2006; 354:1432-1433, Mar 30, 2006. Correspondence

This article has been cited by other articles:

• Martini, B., Marill, K., Ellinor, P., Manini, A. (2006). Case 37-2005: a man with cardiac arrest while sleeping.. NEJM 354: 1432-1433 [Full Text]