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Vol. 71. Issue 7.
Pages 578 (July 2018)
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Vol. 71. Issue 7.
Pages 578 (July 2018)
ECG Contest
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ECG, July 2018
ECG de julio de 2018
Victor Bazana,
Corresponding author

Corresponding author:
, Óscar Alcaldeb, Sandra Valdivielsoa
a Servicio de Cardiología, Hospital Universitari Mútua de Terrassa, Terrassa, Barcelona, Spain
b Unidad de Arritmias, Servicio de Cardiología, Hospital de la Santa Creu i Sant Pau, Barcelona, Spain
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Rev Esp Cardiol. 2018;71:67210.1016/j.rec.2017.12.026
Victor Bazan, Óscar Alcalde, Sandra Valdivielso
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A 69-year-old man with no cardiac history, who practiced high-import sports and had experienced a single syncope while playing sport 3 years earlier, consulted with chest pain and palpitations that developed during a cycle race. The ECG showed regular tachycardia with broad QRS at 250 bpm (Figure 1). Although the patient was hemodynamically stable, it was decided to sedate him and perform cardioversion at 100J. The ECG in sinus rhythm showed ST elevation in leads V1-V3 (Figure 2), accompanied by changes in biomarkers of myocardial injury. Emergency coronary angiography was therefore indicated.

Figure 1
Figure 2

What do you think was the diagnosis? Does the clinical and ECG information point to an underlying heart condition?

  • 1.

    It is a ventricular tachycardia in the context of an acute coronary event.

  • 2.

    It is a supraventricular tachycardia with aberrant ventricular conduction in the context of an acute coronary event.

  • 3.

    It is a ventricular tachycardia and there is suspected right ventricular disease.

  • 4.

    It is a supraventricular tachycardia with no evidence of heart disease.

Submit your diagnosis at The diagnosis will be published in the next issue (August 2018). #RetoECG.

Revista Española de Cardiología (English Edition)

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