False diagnosis of myocardial infarction due to an extreme left sided cardiac rotation in two patients.
We present two patients with an extremely rare condition: abnormal cardiac levoposition. Alterations in the ECG caused by this congenital abnormality and additional chest symptoms led to the false diagnosis of previous myocardial infarction. Chest X-ray and echocardiography suggested cardiac malformation. Correct diagnosis of cardiac levoposition was established by magnetic resonance imaging.
D000368:Aged; D003951:Diagnostic Errors; D004452:Echocardiography; D015716:Electrocardiography, Ambulatory; D006322:Heart Aneurysm / Q000175:diagnosis; D006330:Heart Defects, Congenital / Q000175:diagnosis*; D006439:Hemodynamics / Q000502:physiology; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000175:diagnosis*; D009206:Myocardium / Q000473:pathology