Dextrocardia in Situs Inversus Viscerum
Report:
Sinus rhythm 92/min
Dextrocardia
Nonspecific T wave changes
Comment:
Oddly enough the computer diagnosed “regular rhythm with unusual P axis”, as though negative P wave in L1 is merely “unusual”. It also went the full hog: “anterolateral infarct” and “right axis deviation”. The trace is diagnostic of mirror-image dextrocardia.
The precordial sequence is very characteristic: diminishing V1.
Important information from true chest leads (in this case, right-sided) may be missed if dextrocardia is unrecognised62. Below (Fig 91a) is this patient’s ECG with right-sided chest leads, revealing Wellens’ warning of proximal LAD stenosis.
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