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Vol. 71. Issue 11.
Pages 974 (November 2018)
Vol. 71. Issue 11.
Pages 974 (November 2018)
ECG Contest
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ECG, November 2018
ECG de noviembre de 2018
José Luís Martins
Corresponding author

Corresponding author:
, Anabela Gonzaga, José Santos
Department of Cardiology, Baixo Vouga Hospital Centre, Aveiro, Portugal
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Rev Esp Cardiol. 2018;71:107310.1016/j.rec.2018.03.007
José Luís Martins, Anabela Gonzaga, José Santos
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A 32-year-old woman with a history of smoking presented to the hospital with complaints of mild chest pain that started 16hours prior to arrival during a bike ride. Vital signs on arrival at the Emergency Department were blood pressure 103/52, pulse 85 bpm, respiration 14 breaths per minute, and oxygen saturation 99%. The initial electrocardiogram was recorded (Figure).


What do you think is the correct diagnosis?

  • 1)

    Pre-excitation syndrome (Wolff Parkinson White syndrome)

  • 2)

    Accelerated idioventricular rhythm

  • 3)

    Atrioventricular dissociation (complete atrioventricular block)

  • 4)

    Early phase of anterolateral ST segment elevation myocardial infarction

Suggest a solution to this ECG Contest at The answer will be published in the next issue (December 2018). #EKGchallenge.

Copyright © 2018. Sociedad Española de Cardiología
Revista Española de Cardiología (English Edition)

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