March 2008 Br J Cardiol 2008;15:111–2
Tushar Raina, Ever D Grech, David Cumberland
Abstract
Case report 1
A 51-year-old man with known dextrocardia presented with a 12-month history of angina and an early positive exercise electrocardiogram (ECG). His risk factors were hypertension, hyperlipidaemia and cigarette smoking. Physical examination revealed a right-sided apex beat and chest radiography confirmed the presence of dextrocardia.
Figure 1. 12-lead electrocardiogram (ECG) in dextrocardia
A 12-lead ECG (figure 1) showed sinus rhythm with a reduction in the R-wave voltage in the standard chest leads and a corresponding increase in the right-sided leads.
Coronary angiography of the left coronary system (right sided) revealed minor
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