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Electrical swimming
  1. Daniele Scarpa,
  2. Giulia Famoso,
  3. Alessandro Zorzi
  1. Department of Cardiac, Thoracic and Vascular Sciences, University of Padova, Padova, Italy
  1. Correspondence to Dr Daniele Scarpa, Department of Cardiac, Thoracic and Vascular Sciences; University of Padova, Padova 30128, Italy; scarpadaniele{at}

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Clinical introduction

A 69-year-old man presented to the ED with 24 hours atypical chest pain. He also complained of dyspnoea for moderate efforts and orthopnoea in the last 7 days. BP was 100/55 mm Hg, HR 100 bpm, O2 saturation 98% without oxygen supplementation. The 12-lead ECG obtained at the time of admission is shown in figure 1. What is the most probable diagnosis and what is the most appropriate therapy?

Figure 1

Twelve-lead ECG recorded in the ED.

Please turn the page to read the diagnosis.


What is the most likely diagnosis for this patient? …

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  • Contributors DS and GF: collecting data and manuscript writing. AZ: critical review.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; internally peer reviewed.

  • Patient consent for publication Obtained.