Publish in this journal
Journal Information
Vol. 71. Issue 11.
Pages 974 (November 2018)
ECG Contest
DOI: 10.1016/j.rec.2018.03.006
Full text access
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
Related content
Rev Esp Cardiol. 2018;71:107310.1016/j.rec.2018.03.007
José Luís Martins, Anabela Gonzaga, José Santos
This item has received
(Daily data update)
Article information
Full Text
Download PDF
Figures (1)
Full Text

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)

Subscribe to our newsletter

Article options
es en

¿Es usted profesional sanitario apto para prescribir o dispensar medicamentos?

Are you a health professional able to prescribe or dispense drugs?

es en
Política de cookies Cookies policy
Utilizamos cookies propias y de terceros para mejorar nuestros servicios y mostrarle publicidad relacionada con sus preferencias mediante el análisis de sus hábitos de navegación. Si continua navegando, consideramos que acepta su uso. Puede cambiar la configuración u obtener más información aquí. To improve our services and products, we use "cookies" (own or third parties authorized) to show advertising related to client preferences through the analyses of navigation customer behavior. Continuing navigation will be considered as acceptance of this use. You can change the settings or obtain more information by clicking here.