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Accordion QRS dance
  1. Oscar Thabouillot1,2,
  2. Kilian Bertho2,3,
  3. Romain Kedzierewicz2,3
  1. 1 10th Medical Center - 157th Medical Field Unit, French Military Health Service, Marseille, France
  2. 2 French Military Health Service, Paris, France
  3. 3 Emergency Medical Department, Paris Fire Brigade, Paris, France
  1. Correspondence to Dr Oscar Thabouillot, 10th Medical Center - 157th Medical Field Unit, French Military Health Service, Marseille 94160, France; thabouillot{at}hotmail.com

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Clinical introduction

An 81-year-old woman was admitted to the emergency department for collapse. She has no known medical history.

The clinical examination shows a heart rate oscillating between 160 and 180, a BP at 78/55 mm Hg, a GCS at 14 (E : 4, V : 4, M : 6), an oxygen saturation at 89%. She has cyanosis going from the feet to the knees.

An ECG was done (see figure 1).

Figure 1

ECG at the emergency department.

Question

What is your diagnosis ?

  1. Ventricular tachycardia.

  2. Ventricular fibrillation.

  3. Wolff-Parkinson-White. …

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Footnotes

  • Contributors OT and RK wrote the article. KB gave advices about the interpretation of the ECG.

  • 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.

  • Patient consent for publication Not required.

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

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