作者: Joseph Swafford , Syed Wamique Yusuf , Jean Bernard Durand , Daniel J. Lenihan
DOI:
关键词: Medicine 、 Dextrocardia 、 Electrocardiography 、 Chest pain 、 QRS complex 、 Situs inversus 、 Myocardial perfusion imaging 、 T wave 、 Chest radiograph 、 Anatomy
摘要: A 67-year-old man who was known to have renal cell carcinoma presented with shortness of breath and chest pain. Dextrocardia an incidental finding upon electrocardiography (Figs. 1 and2).2). radiograph (Fig. 3) showed a right-sided cardiac silhouette gastric bubble the apex pointing right. computed tomographic scan 4) revealed liver be on left spleen right, which confirmed presence situs inversus totalis. myocardial perfusion study 5) another patient shows typical appearance dextrocardia. Fig. 12-lead electrocardiogram right-axis deviation; inverted P, QRS, T waves in leads I AVL; decreasing R-wave amplitude from V1 through V6. Fig. 2 right-sided, normal axis progression precordial leads. Fig. 3 Chest dextrocardia bubble, indicative inversus. Fig. 4 Computed side confirms totalis. Fig. 5 as is typically by study.