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Vol. 72. Issue 5.
Pages 419 (May 2019)
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Vol. 72. Issue 5.
Pages 419 (May 2019)
ECG Contest
DOI: 10.1016/j.rec.2018.05.038
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ECG, May 2019
ECG de mayo de 2019
Ana Rivero Monteagudoa,
Corresponding author

Corresponding author:
, Ester Macia Palafoxa, Marta Tomás Mallebrerab
a Departamento de Cardiología, Hospital Universitario Fundación Jiménez Díaz, Madrid, Spain
b Departamento de Radiología, Hospital Universitario Fundación Jiménez Díaz, Madrid, Spain
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Rev Esp Cardiol. 2019;72:49910.1016/j.rec.2018.05.037
Ana Rivero Monteagudo, Ester Macia Palafox, Marta Tomás Mallebrera
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The patient was a 65-year-old woman who attended the emergency room for sudden dyspnea with onset 12hours earlier. Her relevant medical history included metastatic breast adenocarcinoma, for which she had undergone mastectomy 4years earlier, and received radiotherapy. In recent months, several lines of chemotherapy had been administered. The Figure shows the electrocardiogram recorded in the emergency room. What do you think was the most likely diagnosis?

  • 1.

    Acute myocardial infarction resulting from obstruction of the left anterior descending artery

  • 2.

    Isolated acute right ventricular myocardial infarction

  • 3.

    Acute pulmonary embolism

  • 4.

    Myocardial infiltration due to metastasis


Submit your answer to The solution will be published in the next issue (June 2019). #ECGChallenge #RetoECG.

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Revista Española de Cardiología (English Edition)

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