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Case Report: Bigeminy with Alternating Injury Pattern Morphologies in a Young Woman After Cardiac Arrest
Madelyn Huttner1, Mitchell McMurray1, Martin Huecker1
1University of Louisville, School of Medicine, Department of Emergency Medicine, Louisville, Kentucky.
Clinical Practice and Cases in Emergency Medicine
|November 5, 2025
Summary
This case highlights that unusual heart rhythms, like ventricular bigeminy, can signal myocardial infarction (heart attack) in young women. Careful ECG analysis is crucial for diagnosing ischemia in emergency cardiac arrest situations.
Area of Science:
- Cardiology
- Emergency Medicine
- Diagnostic Electrocardiography
Background:
- Coronary artery disease is rare in individuals under 35, with lower incidence observed in women.
- Myocardial infarction should be suspected in patients with cardiac arrest and a shockable rhythm.
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