Document Detail


Acute myocardial infarction in a patient with dextrocardia and situs inversus.
MedLine Citation:
PMID:  16216620     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We report a case of 54-year-old man who presented to hospital with severe prolonged retrosternal chest pain of anginal nature. Electrocardiogram taken by his general practitioner showed minimal ST elevation in chest leads V1 and V2; there was also marked right axis deviation of P wave (negative in lead I and aVL) and of QRS complexes, together with low voltage in precordial leads V4 through V6 suggestive of dextrocardia. Repeat electrocardiogram with chest and limb leads reversed showed widespread, significant ST elevation in lead I, aVL, and V1 through V5 in keeping with extensive acute anterior myocardial infarction (MI). High cardiac enzymes and troponin level provided further confirmation. The extent of MI in such patients may be underestimated unless dextrocardia is timely recognized and leads reversed. We recommend that for patients with dextrocardia and situs inversus presenting with MI, both chest and limb leads be reversed to reveal the true extent of the infracted area.
Authors:
Siddiq Khalil; Amjad Kamal; Shakeel Ahmed
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of electrocardiology     Volume:  38     ISSN:  0022-0736     ISO Abbreviation:  J Electrocardiol     Publication Date:  2005 Oct 
Date Detail:
Created Date:  2005-10-11     Completed Date:  2006-01-23     Revised Date:  2009-11-11    
Medline Journal Info:
Nlm Unique ID:  0153605     Medline TA:  J Electrocardiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  412-3     Citation Subset:  IM    
Affiliation:
Department of Cardiology, Almana General Hospital, Jubail, 31961 Saudi Arabia. sidkhalil@awalnet.net.sa
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MeSH Terms
Descriptor/Qualifier:
Dextrocardia / diagnosis*,  etiology*
Diagnostic Errors / prevention & control*
Electrocardiography / methods*
Humans
Male
Middle Aged
Myocardial Infarction / diagnosis*,  etiology*
Situs Inversus / complications,  diagnosis

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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