Revista Española de Cardiología (English Edition) Revista Española de Cardiología (English Edition)
Rev Esp Cardiol. 2018;71:974 - Vol. 71 Num.11 DOI: 10.1016/j.rec.2018.03.006

ECG, November 2018

José Luís Martins a,, Anabela Gonzaga a, José Santos a

a Department of Cardiology, Baixo Vouga Hospital Centre, Aveiro, Portugal
Suggest your resolution to this ECG Contest

Article

A 32-year-old woman with a history of smoking presented to the hospital with complaints of mild chest pain that started 16 hours prior to arrival during a bike ride. Vital signs on arrival at the Emergency Department were blood pressure 103/52, pulse 85 bpm, respiration 14 breaths per minute, and oxygen saturation 99%. The initial electrocardiogram was recorded (Figure).

Figure.

What do you think is the correct diagnosis?

1) Pre-excitation syndrome (Wolff Parkinson White syndrome)

2) Accelerated idioventricular rhythm

3) Atrioventricular dissociation (complete atrioventricular block)

4) Early phase of anterolateral ST segment elevation myocardial infarction

Suggest a solution to this ECG Contest at http://www.revespcardiol.org/en/electroreto/71/11. The answer will be published in the next issue (December 2018). #EKGchallenge.

Corresponding author: zeluismartins@gmail.com

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

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