ISSN: 1885-5857
Vol. 69. Num. 4.
Pages 441 (April 2016)

Ecg contest
Response to ECG, March 2016

Respuesta al ECG de marzo de 2016

Gustavo Tortajada
Rev Esp Cardiol. 2016;69:32510.1016/j.rec.2015.09.017
Gustavo Tortajada

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At first, the tachycardia was regular with a narrow QRS and a retrograde P-wave at the end of the QRS complex. Then, after spontaneous interruption, there was a preexcited first sinus beat, a pattern characteristic of left-sided accessory pathway. This was followed by normal sinus rhythm, without preexcitation. The diagnosis was orthodromic tachycardia mediated by a left-sided accessory pathway with bidirectional conduction and intermittent preexcitation. Ablation of the accessory pathway was performed.

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