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A rare rhythm in a pulseless patient: ECG challenge
Nadav Shoua1, Mahmoud Suleiman2
1Technion - Israel Institute of Technology, Ruth and Bruce Rappaport Faculty of Medicine, Haifa, Israel.
Abstract:
We report a case of cardiac arrest with an initial monitor rhythm suggesting Wide Complex Tachycardia (WCT). However, unique circumstances allowed for a 12 ECG to be obtained, which revealed ventricular standstill. The apparent rhythm was a pseudo-tachycardia artifact caused by monitor auto-gain amplification. This case highlights the risk of automated signal processing artifacts mimicking life-threatening arrhythmias during ACLS.
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