June / 02

53 yo African-American female was found unresponsive by her husband. When paramedic arrived she was pulseless. Her blood sugar was 20. She received a brief peroid of CPR and reponded quickly to IV fluid.

In ER, she continue to be unconscious. Her blood sugar was 45 and required more IV glucose. She was intubated.

Patient is not diabetic. Her husband is taking Metformin. She has historiy of srvere COPD with FEV1 of 0.68.

Troponin was 2.4.

ECG

Echo

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