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Vol. 68. Issue 10.
Pages 896 (October 2015)
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Vol. 68. Issue 10.
Pages 896 (October 2015)
ECG Contest
DOI: 10.1016/j.rec.2015.04.014
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Response to ECG, September 2015
Respuesta al ECG de septiembre de 2015
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Manuel Martínez-Sellés
Departamento de Cardiología, Hospital Universitario Gregorio Marañón, Universidad Europea y Universidad Complutense, Madrid, Spain
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Rev Esp Cardiol. 2015;68:80610.1016/j.rec.2015.04.013
Manuel Martínez-Sellés
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The ECG shows right bundle branch block and an SI, QIII, TIII pattern. Urgent echocardiogram showed a very dilated right ventricle. Given the high probability of pulmonary thromboembolism, fibrinolysis was performed. At 24hours, computed tomography confirmed bilateral pulmonary thromboemboli and also showed type B aortic dissection (Figure).

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Copyright © 2015. Sociedad Española de Cardiología
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