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Almana General Hospital, Jubail

MI in patients with dextrocardia and situs inversus may be underestimated

Published in Lab Law Weekly, January 6th, 2006

The extent of myocardial infarction (MI) in patients with dextrocardia and situs inversus may be underestimated without reversal of both chest and limb EKG leads.

According to scientists in Saudi Arabia, "We report a case of a 54-year-old man who presented to hospital with severe prolonged retrosternal chest pain of anginal nature. An 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...

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