In general, whatever south exits after winning the first heart, north is stuck. The defense inevitably gets four hearts, two spades, and a diamond ruff. The south hand is useless - it can't ruff a club, because west will ruff the club ace, and the diamonds can't be set up because there is no entry to get back to them. South pitches a spade on the third round and, if east ruffs the fourth round low, south overruffs. If east ruffs the fourth round high, south pitches another spade.
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