A 32-year-old woman with a history of smoking presented to the hospital with complaints of mild chest pain that started 16hours 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).
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.