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Revista Española de Cardiología (English Edition) Revista Española de Cardiología (English Edition)
Rev Esp Cardiol. 2018;71:488 - Vol. 71 Num.06 DOI: 10.1016/j.rec.2017.12.019

ECG, June 2018

Juan Caro-Codón a,, Ángel M. Iniesta Manjavacas a, Mar Moreno Yangüela a

a Servicio de Cardiología, Hospital Universitario La Paz, Madrid, Spain
Suggest your resolution to this ECG Contest


A 50-year-old woman with a family history of ischemic heart disease and no other risk factors attended the emergency department after a 15-minute episode of oppressive pain in the center of her chest. No electrocardiographic changes suggestive of ischemia were observed and markers of myocardial damage were negative. A resting echocardiogram showed no indication of structural heart disease. Subsequently, treadmill exercise echocardiography was performed to check for ischemia. This test was conclusive, with a clinically and echocardiographically negative result, and so the presence of myocardial ischemia was ruled out beyond reasonable doubt. The Figure shows the ECG obtained at 1 minute 30 seconds of recovery.


According to this trace, what is the most likely diagnosis?

1. Right-ventricular arrhythmogenic cardiomyopathy

2. Exercise-induced atrioventricular block

3. Type 1 long QT syndrome

4. Type 2 long QT syndrome

Suggest a diagnosis to this ECG Contest at The diagnosis will be published in the next issue (July 2018). #RetoECG.

Corresponding author:

1885-5857/© 2018 Sociedad Española de Cardiología. Published by Elsevier España, S.L.U. All rights reserved