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Du går nattjour på hjärtakuten och blir larmad till ett akutrum där en 63-årig man inkommer med ambulans. Patienten är väsentligen frisk och har precis sprungit Midnattsloppet efter att ha blivit utmanad av några yngre kollegor. I mitten av loppet svimmade han av, utan förkänning. Funktionärer på plats har rapporterat till ambulansen att han bara var frånvarande några sekunder, därefter kvicknade han till.Du handlägger patienten enligt A-E konceptet. A: Fri luftväg. B: Saturation 98% på luft, lungorna auskulteras ua, AF 15. C: Regelbunden rytm, frekvens 68. över hjärtat hörs ett systoliskt blåsljud grad 3/6 med PM I2 vänster, blodtryck 150/85 mmHg. Buken är mjuk, oöm. EKG visar sinusrytm med höga R-vågsamplituder V3-V5, puls 80 slag/minut.D: GCS 15. E: afebril. Vad bedömer du är den troligaste orsaken till patientens svimning? Endast ett svar ska markeras. - Aortastenos- Hypoglykemi- Krampanfall- Lungemboli- Malign hjärtarytmi (ex ventrikeltakykardi) 1 p

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