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Vol. 70. Issue 12.
Pages 1137 (December 2017)
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Vol. 70. Issue 12.
Pages 1137 (December 2017)
ECG Contest
DOI: 10.1016/j.rec.2017.06.004
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ECG, December 2017
ECG de diciembre de 2017
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Pedro Martínez-Losas
Corresponding author
martinezlosasp@gmail.com

Corresponding author:
, Miguel Ángel Cobos Gil
Instituto Cardiovascular, Hospital Clínico San Carlos, Madrid, Spain
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Rev Esp Cardiol. 2018;71:4710.1016/j.rec.2017.04.030
Pedro Martínez-Losas, Miguel Ángel Cobos Gil
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A 48-year-old hypertense male smoker, with a 1-year history of unstable angina, required implantation of 2 drug-eluting stents in the left main coronary artery and the left anterior descending artery. He attended the clinic for a follow-up exercise test. The test was discontinued during stage 2 of the Bruce protocol, on reaching 7 metabolic equivalents, because of atypical chest pain. The electrocardiogram at the time of discontinuation is shown in the Figure.

Figure
(1.56MB).

What is the correct diagnosis and appropriate approach?

  • a)

    Negative exercise test; clinical follow-up required

  • b)

    Exercise test not evaluable; stress echocardiography should be performed

  • c)

    Positive exercise test; medical treatment should be adjusted

  • d)

    Positive exercise test; coronary angiography should be performed

Suggest a diagnosis to this ECG Contest at: http://www.revespcardiol.orges/electroreto/70/12. The answer will be published in the next issue (January 2018). #EKGchallenge.

Copyright © 2017. Sociedad Española de Cardiología
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