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Vol. 73. Issue 9.
Pages 767 (September 2020)
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Vol. 73. Issue 9.
Pages 767 (September 2020)
ECG Contest
DOI: 10.1016/j.rec.2020.01.018
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ECG, September 2020
ECG de septiembre de 2020
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Kinán Rajjoub Al-Mahdia,
Corresponding author
krajjoub@ucm.es

Corresponding author:
, Juan Diego Sánchez Vegab, Ez Alddin Rajjoub Al-Mahdib
a Pabellón Docente, Hospital Universitario 12 de Octubre, Facultad de Medicina, Universidad Complutense de Madrid, Madrid, Spain
b Servicio de Cardiología, Hospital Universitario Ramón y Cajal, Madrid, Spain
Related content
Rev Esp Cardiol. 2020;73:84810.1016/j.rec.2020.01.019
Kinán Rajjoub Al-Mahdi, Juan Diego Sánchez Vega, Ez Alddin Rajjoub Al-Mahdi
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Figures (2)
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Percutaneous aortic valve replacement in an 86-year-old female patient with severe symptomatic aortic valve stenosis was complicated by occlusion of the left main coronary artery. The patient presented with marked hypotension and chest pain. Flow was re-established after the introduction of a guidewire and implantation of a drug-eluting stent at the site of the occlusion. Figure 1 and figure 2 show the traces before and after the procedure, respectively. The changes observed in figure 2 resolved in a few hours.

Figure 1
(0.54MB).
Figure 2
(0.45MB).

What does figure 2 show?

  • 1.

    Acute pulmonary embolism

  • 2.

    Pre-excitation via a left lateral accessory pathway

  • 3.

    Inferolateral infarction

  • 4.

    Left septal fascicular block

Submit your answer to http://www.revespcardiol.org/en/electroreto/73/09. The answer will be published in the next issue (October 2020). #RetoECG.

Copyright © 2020. Sociedad Española de Cardiología
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