Document Detail

Acute anteroseptal myocardial infarction in a patient with dextrocardia.
MedLine Citation:
PMID:  19100562     Owner:  NLM     Status:  MEDLINE    
Dextrocardia with situs inversus is an uncommon congenital condition in which the major visceral organs are reversed. The clinical diagnosis and electrocardiographic localization of myocardial infarctions in these patients remain a great challenge. We report a case of a 64-year-old man known with dextrocardia and situs inversus totalis presenting with acute chest pain irradiating to the right arm. The admission and reversed "normalized" electrocardiogram are presented, allowing for correct diagnosis of an acute anteroseptal myocardial infarction. The present case emphasizes the importance of performing a reversed electrocardiogram in patients with dextrocardia.
Becker S N Alzand; Robert Dennert; Robert Kalkman; Anton P M Gorgels
Publication Detail:
Type:  Case Reports; Journal Article     Date:  2008-12-19
Journal Detail:
Title:  Journal of electrocardiology     Volume:  42     ISSN:  1532-8430     ISO Abbreviation:  J Electrocardiol     Publication Date:    2009 May-Jun
Date Detail:
Created Date:  2009-04-28     Completed Date:  2009-07-09     Revised Date:  2009-11-11    
Medline Journal Info:
Nlm Unique ID:  0153605     Medline TA:  J Electrocardiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  254-7     Citation Subset:  IM    
Department of Cardiology, University Hospital Maastricht, The Netherlands.
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MeSH Terms
Dextrocardia / complications*,  diagnosis*
Diagnosis, Differential
Electrocardiography / methods*
Heart Septal Defects / complications*,  diagnosis*
Middle Aged
Myocardial Infarction / complications*,  diagnosis*

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