title: Acute anteroseptal myocardial infarction in a patient with dextrocardia.
abstract: Dextrocardia with situs inversus is an uncommon congenital condition in which the major visceral organs are reversed. The clinical diagnosis and electrocardiographic localization of myocardial infarctions in these patients remain a great challenge. We report a case of a 64-year-old man known with dextrocardia and situs inversus totalis presenting with acute chest pain irradiating to the right arm. The admission and reversed "normalized" electrocardiogram are presented, allowing for correct diagnosis of an acute anteroseptal myocardial infarction. The present case emphasizes the importance of performing a reversed electrocardiogram in patients with dextrocardia.
authors.affiliation: Department of Cardiology, University Hospital Maastricht, The Netherlands. b.alzand@mumc.nl
authors.forename: Becker S N
authors.initials: BS
authors.lastname: Alzand
authors.forename: Robert
authors.initials: R
authors.lastname: Dennert
authors.forename: Robert
authors.initials: R
authors.lastname: Kalkman
authors.forename: Anton P M
authors.initials: AP
authors.lastname: Gorgels
mesh_terms: D003914:Dextrocardia / Q000150:complications* / Q000175:diagnosis*; D003937:Diagnosis, Differential; D004562:Electrocardiography / Q000379:methods*; D006343:Heart Septal Defects / Q000150:complications* / Q000175:diagnosis*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000150:complications* / Q000175:diagnosis*