Publish in this journal
Journal Information
Vol. 70. Issue 4.
Pages 295 (April 2017)
ECG Contest
DOI: 10.1016/j.rec.2016.11.001
Full text access
ECG, April 2017
ECG de abril de 2017
Visits
...
César Rainer Solórzano Guillén, Rafael Peinado Peinado
Corresponding author
rpeinado@secardiologia.es

Corresponding author:
Unidad de Arritmias, Servicio de Cardiología, Hospital Universitario La Paz, Madrid, Spain
Related content
Rev Esp Cardiol. 2017;70:39510.1016/j.rec.2016.12.023
César Rainer Solórzano Guillén, Rafael Peinado Peinado
This item has received
...
Visits
(Daily data update)
Article information
Full Text
Download PDF
Statistics
Figures (2)
Full Text

A 62-year-old man presented to the emergency room with palpitations and dyspnea. The patient had a history of kidney disease and bicuspid aortic valve disease, with class III/IV heart failure and left ventricular dilatation and dysfunction (ejection fraction, 40%) but no history of palpitations, dizziness, or syncope. Physical examination on admission revealed blood pressure of 130/80 mmHg and no overt signs of heart failure. The admission ECG showed regular, wide-QRS tachycardia (Figure 1). Sinus rhythm was restored with electrical cardioversion (Figure 2).What is the most mechanism in this patient?

  • 1.

    Monomorphic ventricular tachycardia due to myocardial reentry.

  • 2.

    Monomorphic ventricular tachycardia due to bundle branch reentry.

  • 3.

    Nodal reentrant tachycardia with right bundle branch block.

  • 4.

    Preexcited tachycardia.

Figure 1
(0.26MB).
Figure 2
(0.24MB).

Suggest a solution to this ECG Contest at http://www.revespcardiol.org/es/electroreto/70/4. The answer will be published in the next issue (May 2017). #RetoECG.

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

Subscribe to our newsletter

Article options
Tools
es en

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

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