Revista Española de Cardiología (English Edition) Revista Española de Cardiología (English Edition)
Rev Esp Cardiol. 2019;72:165 - Vol. 72 Num.02 DOI: 10.1016/j.rec.2018.04.032

ECG, February 2019

Alejandro Cruz-Utrilla a,, Hernán Mejía-Rentería a, Alejandro Travieso-González a

a Servicio de Cardiología, Hospital Clínico San Carlos, Madrid, Spain

Refers to

Free articleResponse to ECG, February 2019
Alejandro Cruz-Utrilla, Hernán Mejía-Rentería, Alejandro Travieso-González
Rev Esp Cardiol. 2019;72:248
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See the proposed resolutions

Article

A 50-year-old man with a history of hypertension contacted the out-of-hospital emergency service after onset of oppressive retrosternal chest pain with radiation to the left arm and sweating. The first ECG recorded on arrival in the emergency room is the one shown in the Figure.

Figure.

According to this ECG, what was the most likely diagnosis?

1. Non–ST-elevation acute coronary syndrome (NSTE-ACS), with an ECG indicative of left main coronary artery involvement or 3-vessel disease.

2. NSTE-ACS but the affected vessel cannot be identified.

3. Posterior ST-elevation acute coronary syndrome (STE-ACS), with an ECG indicative of involvement of a posterolateral branch.

4. Anterior STE-ACS, with an ECG indicative of ostial-proximal left anterior descending artery involvement.

Submit your answer to http://www.revespcardiol.org/en/electroreto/72/2. The solution will be published in the next issue (March 2019). #ECGChallenge #RetoECG.

Corresponding author: acruzutrilla@gmail.com

1885-5857/© 2019 Sociedad Española de Cardiología. Published by Elsevier España, S.L.U. All rights reserved

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