Quiz: Electrocardiogram

  1. Home
  2. Archive
  3. Vol 3 ( 2019 ); Issue 3
  4. Articles
QUIZ

Quiz: Electrocardiogram

Article Summary
  • DOI: 10.24969/hvt.2019.139
  • Page(s): 115
  • Published: 21/08/2019
  • Received: 21/08/2019
  • Accepted: 21/08/2019
  • Views: 4918
  • Downloads: 4941
  • Keywords: quiz, electrocardiogram
  PDF           PRINT VERSION      Comments   

Male, 64 years, presents with an exacerbation of asthma. He is treated with nebulized salbutamol.

He has a past history of ischaemic heart disease with percutaneous coronary intervention to the right coronary artery.

Whilst in the emergency department he is noted to have frequent and extensive runs of wide complex tachycardia. The tachycardia is captured on the electrocardiogram below (Fig. 1). The speed of the recording is 25 mm/s.

What is the most likely diagnosis?

  1. Sinus rhythm with left bundle branch block
  2. Ventricular tachycardia
  3. Supraventricular tachycardia with aberrancy
  4. Atrial fibrillation conducted via an accessory pathway 

Figure 1. A 12-lead electrocardiogram

Josh Hawson, Jonathan Lipton

Royal Hobart Hospital, Hobart, Australia

Peer-review: Internal

Conflict of interest: None to declare

Authorship: J.H. and J.L.  equally contrıbuted to preparation of quiz

         Acknowledgement and funding: None to declare

Copyright
Creative Commons License
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
Archive of Issues
Browse
AUTHOR'S CORNER
Authors having problems with submissions please notify editor: editor@hvt-journal.com
Send Message To Editor

 

Survey for readers and authors