ECG, March 2017
a Servicio de Cardiología, Hospital General Nuestra Señora del Prado, Talavera de la Reina, Toledo, Spain
A 79-year-old man with a dual-chamber defibrillator for the last 6 years presents to the emergency room with a 3-hour history of palpitations. He is hemodynamically stable (blood pressure, 130/70 mmHg) and has not received any shocks from the device. An electrocardiogram is recorded (Figure).
What is the diagnosis with this trace?
1. Polymorphic ventricular tachycardia
2. Atrial fibrillation with aberrant conduction
3. Monomorphic ventricular tachycardia and atrial fibrillation
4. Pre-excited atrial fibrillation (left lateral accessory pathway)
Suggest a solution to this ECG Contest http://www.revespcardiol.org/en/electroreto/70/3. The answer will be published in the next issue (April 2017). #RetoECG.
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