EHRA 2021 ECG Contest - Final Round with correct answers | Take the Quiz

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72-year-old patient with non-ischaemic cardiomyopathy, LVEF 20% and left bundle branch block presents with a wide QRS tachycardia.

What rhythm is it?

A. Idiopathic fascicular left ventricular tachycardia

B. Atrial flutter with 1:1 conduction

C. Bundle branch reentry ventricular tachycardia

D. AVNRT with pre-existing LBBB

62-year-old patient with history of myocardial infarction. Preserved left ventricular ejection fraction. Episode of palpitations with good hemodynamical tolerance.

What rhythm is it?

A. Ventricular tachycardia

B. Atrial flutter with AV variable conduction and QRS aberrancy

C. Atrial fibrillation with aberrant conduction

D. Antidromic tachycardia

14-year-old girl, incessant episodes of palpitations (ON/OFF). No medical history, normal echocardiogram.

What rhythm is it?

A. Atypical AVNRT

B. Atrial tachycardia

C. Permanent junctional reciprocating tachycardia

D. Long QT syndrome

37-year-old man, sudden episode of palpitations. Good hemodynamic tolerance. No medical history. Normal echocardiogram. ECG recorded at the emergency department:

What rhythm is it?

A. Supraventricular tachycardia with aberrancy

B. Fascicular VT

C. RVOT VT

D. Orthodromic AVRT

86-year-old man, asymptomatic. No known heart disease. ECG recorded at the emergency department after a fall:

What rhythm is it?

A. Sinus rhythm

B. Atrial fibrillation

C. Typical flutter

D. Atypical flutter

48-year-old man, heart transplantation for ischemic heart disease with severe heart failure.

Asymptomatic.

What rhythm is it?

A. Sinus rhythm

B. Atrial flutter

C. Atrial fibrillation

D. Sinus rhythm and atrial flutter

37-year-old patient referred for ablation due to documented narrow QRS tachycardia. Tachycardia starts spontaneously as wide QRS tachycardia and spontaneously changes to narrow QRS tachycardia.

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