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Vol. 70. Issue 3.
Pages 197 (March 2017)
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Vol. 70. Issue 3.
Pages 197 (March 2017)
ECG Contest
DOI: 10.1016/j.rec.2016.11.021
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ECG, March 2017
ECG de marzo de 2017
Alfonso Mac??as
Corresponding author

Corresponding author:
, Sara Casta??o, In??s Madrazo
Servicio de Cardiolog??a, Hospital General Nuestra Se??ora del Prado, Talavera de la Reina, Toledo, Spain
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Rev Esp Cardiol. 2017;70:29610.1016/j.rec.2016.11.022
Alfonso Macías, Sara Castaño, Inés Madrazo
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A 79-year-old man with a dual-chamber defibrillator for the last 6 years presents to the emergency room with a 3-hour history of palpitations. He is hemodynamically stable (blood pressure, 130/70mmHg) and has not received any shocks from the device. An electrocardiogram is recorded (Figure).


What is the diagnosis with this trace?

  • 1.

    Polymorphic ventricular tachycardia

  • 2.

    Atrial fibrillation with aberrant conduction

  • 3.

    Monomorphic ventricular tachycardia and atrial fibrillation

  • 4.

    Pre-excited atrial fibrillation (left lateral accessory pathway)

Suggest a solution to this ECG Contest The answer will be published in the next issue (April 2017). #RetoECG.

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

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