Publish in this journal
Journal Information
Vol. 69. Issue 4.
Pages 440 (April 2016)
ECG Contest
DOI: 10.1016/j.rec.2015.11.031
Full text access
ECG, April 2016
ECG de abril de 2016
Albert Ariza Solé
Unidad Coronaria, Área de Enfermedades del Corazón, IDIBELL, Hospital Universitari de Bellvitge, L’Hospitalet de Llobregat, Barcelona, Spain
Related content
Rev Esp Cardiol. 2016;69:51910.1016/j.rec.2015.11.032
Albert Ariza Solé
This item has received
(Daily data update)
Article information
Full Text
Download PDF
Figures (1)
Full Text

The patient was a 55-year-old man, a smoker, who reported a 3-day history of severe chest pain, symptoms and signs of autonomic dysfunction, and poor general health. At home, he was found to have severe hypotension and bradycardia with signs of peripheral hypoperfusion. External pacing was undertaken, followed by intubation and mechanical ventilation. The electrocardiogram carried out on arrival at the hospital is shown in the Figure.


An echocardiogram revealed mild left ventricular dilation with very severe systolic dysfunction. Right ventricle was not dilated and there was no evidence of valve disease or pericardial effusion. He arrived at the hospital with severe hypotension, despite the administration of high doses of inotropic agents and vasopressors, as well as metabolic acidosis and renal failure. What is the diagnosis and the immediate therapeutic approach?

Suggest a solution to this ECG Contest at (only Spanish). The answer will be published in the next issue (May 2016). #RetoECG.

Copyright © 2016. Sociedad Española de Cardiología
Revista Española de Cardiología (English Edition)

Subscribe to our newsletter

Article options
es en

¿Es usted profesional sanitario apto para prescribir o dispensar medicamentos?

Are you a health professional able to prescribe or dispense drugs?

es en
Política de cookies Cookies policy
Utilizamos cookies propias y de terceros para mejorar nuestros servicios y mostrarle publicidad relacionada con sus preferencias mediante el análisis de sus hábitos de navegación. Si continua navegando, consideramos que acepta su uso. Puede cambiar la configuración u obtener más información aquí. To improve our services and products, we use "cookies" (own or third parties authorized) to show advertising related to client preferences through the analyses of navigation customer behavior. Continuing navigation will be considered as acceptance of this use. You can change the settings or obtain more information by clicking here.