- Email: [email protected]
ECG, November 2015
Rev Esp Cardiol. 2015;68(11):1025
ECG Contest
ECG, November 2015 ECG de noviembre de 2015 Sonia Mirabet Servicio de Cardiologı´a, A´rea de Miocardiopatı´as, Unidad de Insuficiencia Cardiaca y Trasplante Cardiaco, Hospital de Sant Pau, Barcelona, Spain
A 25-year-old woman, in active employment, with no history of substance abuse, and no reported past medical history of note. Her father died of a heart condition 13 years before. There was no family history of heart disease or sudden death. She reported 2 months of progressive exertional dyspnea, inability to lie flat, and abdominal distention. On examination, heart sounds were regular, with a fourth heart sound, a grade 2/6 systolic murmur in the tricuspid area, significant jugular venous distention, tender hepatomegaly of 2 fingerbreadths, and signs of mild ascites. Her ECG is shown in the Figure. What would the diagnosis be?
Figure.
Suggest a solution to this ECG Contest at http://www.revespcardiol.org/es/electroreto/68/11 (only Spanish). The answer will be published in the next issue (December 2015). #RetoECG.
E-mail address: [email protected]
http://dx.doi.org/10.1016/j.rec.2015.05.017 ˜ ola de Cardiologı´a. Published by Elsevier Espan ˜ a, S.L.U. All rights reserved. 1885-5857/ß 2015 Sociedad Espan
ECG Contest
ECG, November 2015 ECG de noviembre de 2015 Sonia Mirabet Servicio de Cardiologı´a, A´rea de Miocardiopatı´as, Unidad de Insuficiencia Cardiaca y Trasplante Cardiaco, Hospital de Sant Pau, Barcelona, Spain
A 25-year-old woman, in active employment, with no history of substance abuse, and no reported past medical history of note. Her father died of a heart condition 13 years before. There was no family history of heart disease or sudden death. She reported 2 months of progressive exertional dyspnea, inability to lie flat, and abdominal distention. On examination, heart sounds were regular, with a fourth heart sound, a grade 2/6 systolic murmur in the tricuspid area, significant jugular venous distention, tender hepatomegaly of 2 fingerbreadths, and signs of mild ascites. Her ECG is shown in the Figure. What would the diagnosis be?
Figure.
Suggest a solution to this ECG Contest at http://www.revespcardiol.org/es/electroreto/68/11 (only Spanish). The answer will be published in the next issue (December 2015). #RetoECG.
E-mail address: [email protected]
http://dx.doi.org/10.1016/j.rec.2015.05.017 ˜ ola de Cardiologı´a. Published by Elsevier Espan ˜ a, S.L.U. All rights reserved. 1885-5857/ß 2015 Sociedad Espan