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Vol. 71. Issue 6.
Pages 488 (June 2018)
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Vol. 71. Issue 6.
Pages 488 (June 2018)
ECG Contest
DOI: 10.1016/j.rec.2017.12.019
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ECG, June 2018
ECG de junio de 2018
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Juan Caro-Codón
Corresponding author
juancarocd@gmail.com

Corresponding author:
, Ángel M. Iniesta Manjavacas, Mar Moreno Yangüela
Servicio de Cardiología, Hospital Universitario La Paz, Madrid, Spain
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Rev Esp Cardiol. 2018;71:57910.1016/j.rec.2017.12.020
Juan Caro-Codón, Ángel M. Iniesta Manjavacas, Mar Moreno Yangüela
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A 50-year-old woman with a family history of ischemic heart disease and no other risk factors attended the emergency department after a 15-minute episode of oppressive pain in the center of her chest. No electrocardiographic changes suggestive of ischemia were observed and markers of myocardial damage were negative. A resting echocardiogram showed no indication of structural heart disease. Subsequently, treadmill exercise echocardiography was performed to check for ischemia. This test was conclusive, with a clinically and echocardiographically negative result, and so the presence of myocardial ischemia was ruled out beyond reasonable doubt. The Figure shows the ECG obtained at 1minute 30seconds of recovery.

Figure
(1.58MB).

According to this trace, what is the most likely diagnosis?

  • 1.

    Right-ventricular arrhythmogenic cardiomyopathy

  • 2.

    Exercise-induced atrioventricular block

  • 3.

    Type 1 long QT syndrome

  • 4.

    Type 2 long QT syndrome

Suggest a diagnosis to this ECG Contest at http://www.revespcardiol.org/en/electroreto/71/6. The diagnosis will be published in the next issue (July 2018). #RetoECG.

Copyright © 2017. Sociedad Española de Cardiología
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Revista Española de Cardiología (English Edition)

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