A chilling tale

      A 48-year-old man presented to the emergency department for evaluation of diarrhea, but while waiting in the triage area, he suddenly developed left-sided shoulder and chest pain and collapsed. He was determined to be in ventricular fibrillation. Multiple defibrillatory shocks and amiodarone were administered before a heart rhythm could be re-established. The patient did not regain consciousness with these efforts. His past medical history included bipolar disorder, ankylosing spondylitis, and erosive esophagitis, which had been diagnosed 1 month earlier.
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          Seshadri P, Iqbal N, Stern L, Williams M, Chicano KL, Daily DA, McGrory J, Gracely EJ, Rader DJ, Samaha FF. A randomized study comparing the effects of a low-carbohydrate diet and a conventional diet on lipoprotein subfractions and C-reactive protein levels in patients with severe obesity. Am J Med. 2004;117:298-405.
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