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Vol. 72. Issue 12.
Pages 1079 (December 2019)
ECG Contest
DOI: 10.1016/j.rec.2019.05.013
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ECG, December 2019
ECG de diciembre de 2019
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Francisco Ribesa,
Corresponding author
fribestur@gmail.com

Corresponding author:
, Antonio Marcoa, Antonio Sánchezb
a Servicio de Cardiología, Hospital Universitario de Sant Joan, Sant Joan d’Alacant, Alicante, Spain
b Sección de Cardiología Pediátrica, Servicio de Pediatría, Hospital Universitari i Politècnic La Fe, Valencia, Spain
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Rev Esp Cardiol. 2020;73:8810.1016/j.rec.2019.05.012
Francisco Ribes, Antonio Marco, Antonio Sánchez
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A 4-year-old boy of Roma origin, with delayed language development and deafness, had a cardiorespiratory arrest while playing. The father started basic cardiopulmonary resuscitation maneuvers and the patient regained consciousness in less than 1minute. He was referred to the emergency room. On arrival, his neurological status was good, although he did not remember what had happened, and his vital signs were normal. There were no findings of interest in the clinical examination or laboratory tests. The family members reported previous episodes of loss of consciousness while playing and a family history of sudden cardiac death at an early age. The ECG shown in the Figure 1 was recorded.

Figure 1
(0.97MB).

What do you think was the most likely diagnosis?

  • 1.

    Neuromediated syncope

  • 2.

    Jervell and Lange-Nielsen syndrome

  • 3.

    Timothy syndrome

  • 4.

    Obstructive hypertrophic cardiomyopathy

Submit your answer to http://www.revespcardiol.org/en/electroreto/72/12. The answer will be published in the next issue (January 2020). #RetoECG.

Copyright © 2019. Sociedad Española de Cardiología
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