19 September 2020>: Articles
Unusual clinical course, Challenging differential diagnosis, Unusual setting of medical care, Clinical situation which can not be reproduced for ethical reasonsToby N. Weingarten A* , Hiroshi Morimatsu B , Juan Fiorda-Diaz B , Sergio D. Bergese A , Makiko Ariyoshi B , Juraj Sprung C , Albert Dahan A , Frank J. Overdyk A
Am J Case Rep 2020; 21:e925510
Figure 3. Postoperative changes in heart rate (HR) consistent with atrial fibrillation in a 72-year-old male. The top panel shows a highly abnormal breathing pattern marked by numerous apneic episodes (blue dashes). The bottom panel shows the HR (green) increase from the 60 beats per minute (bpm) range to 90 bpm for 5 minutes, and then an increase to a variable rate between 120 and 180 bpm. There are some associated changes in oxyhemoglobin saturation (red) consistent with hypoxemia secondary to apneic spells. EtCO2 – end-tidal carbon dioxide; RR – respiratory rate; SpO2 – oxyhemoglobin saturation; PR – pulse rate.