Also known as: Complete heart block
Wyatt Barnes presents with complete AV block secondary to sarcoidosis, causing dangerous bradycardia that led to syncope while riding his bike and a multi-car accident. He refuses pacemaker placement despite life-threatening consequences, ultimately dying from complications of his untreated heart block including gut ischemia and renal failure.
Also known as: Sarcoid
Wyatt has a known diagnosis of sarcoidosis that he has not been treating with medications. The sarcoid infiltrated his heart's conduction system, causing complete heart block.
Brit presents with chronic abdominal pain, nausea, vomiting, and unexplained weight loss. CT reveals a large benign hepatic hemangioma that requires surgical intervention. During the enucleation procedure, arterial bleeding necessitates an emergent partial hepatectomy.
Also known as: Intestinal tissue death from lack of blood flow
Wyatt develops gut ischemia with severe abdominal pain and nausea as a complication of his critically low heart rate and poor perfusion. The dying bowel makes him non-viable for surgery without pacemaker placement.
Also known as: Kidney failure
Wyatt's kidneys begin failing as a result of prolonged poor cardiac output and hypoperfusion from his untreated complete heart block.
Also known as: Fainting
Wyatt experiences syncope while riding his bike due to critically low heart rate from complete heart block, causing him to crash into traffic and trigger a multi-car pileup.
Also known as: Major injuries from car accident
Five-car pileup on Peachtree results in multiple patients with various injuries including fractured ribs, lower extremity lacerations, and need for internal injury assessment. This serves as the inciting incident bringing Wyatt to the hospital.