Top

Gepubliceerd in:

01-08-2012 | Rhythm Puzzle - Answer

Right side or left side: an inconspicuous masquerade

Auteurs: J. John, N. Nerella, G. Hollander, J. Shani

Gepubliceerd in: Netherlands Heart Journal | Uitgave 7-8/2012

Extract

Careful examination of the ECG in Fig. 1 shows inverted P waves in leads I, aVL and V2 to V6. Also notice the upright P waves in aVR and absence of R wave progression in the precordial leads. These are classic findings in dextrocardia. Hence the important physical examination finding in this patient would be better audibility of heart sounds on the right side of the precordium. Limb lead reversal causing ‘technical dextrocardia’ is a close differential diagnosis, but can be ruled out here as it would not explain the inverted P waves seen in V2 to V6.[1] …

vorige artikel Percutaneous treatment of native aortic coarctation in adults

Adrouny ZA, Semler HJ, Griswold HE. Dextrocardia with Right Bundle Branch Block. Dis Chest. 1965;47:334–5.PubMedCrossRef

Titel: Right side or left side: an inconspicuous masquerade
Auteurs: J. John
N. Nerella
G. Hollander
J. Shani
Publicatiedatum: 01-08-2012
Uitgeverij: Bohn Stafleu van Loghum
Gepubliceerd in: Netherlands Heart Journal / Uitgave 7-8/2012
Print ISSN: 1568-5888
Elektronisch ISSN: 1876-6250
DOI: https://doi.org/10.1007/s12471-012-0299-1

Andere artikelen Uitgave 7-8/2012

Stenting in percutaneous treatment of adult aortic coarctation

Letter to the Editor

Idiopathic dilated cardiomyopathy: possible triggers and treatment strategies

Open Access
ICIN