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Dextrocardia by ECG Finding

MedGen UID:
762126
•Concept ID:
C3541877
•
Finding
Synonym: Dextrocardia by EKG Finding

Definition

An electrocardiographic finding suggestive of dextrocardia with situs inversus, characterized by reversal of normal anterior R wave progression and the appearance of reversal of the right and left arm electrodes. (CDISC) [from NCI]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVDextrocardia by ECG Finding

Professional guidelines

PubMed

Dextrocardia: systematic approach to differential diagnosis.
Rao PS
Am Heart J 1981 Sep;102(3 Pt 1):389-403. doi: 10.1016/0002-8703(81)90315-x. PMID: 7023216
Combined anterior abdominal wall, sternal, diaphragmatic, pericardial, and intracardiac defects: a report of five cases and their management.
Spitz L, Bloom R, Milner S, Levin SE
J Pediatr Surg 1975 Aug;10(4):491-6. doi: 10.1016/0022-3468(75)90189-x. PMID: 50430
Neonatal cardiac distress. A practical approach to recognition, diagnosis, and management.
Cayler GG
Calif Med 1968 Mar;108(3):188-200. PMID: 4867629Free PMC Article

Recent clinical studies

Etiology

Electrocardiographic abnormalities in patients with microtia.
Yang Y, Tian X, Sun P, Zhao X, Hu J, Pan B
Sci Rep 2024 May 3;14(1):10191. doi: 10.1038/s41598-024-60610-9. PMID: 38702362Free PMC Article
Acute coronary syndrome in Dextrocardia.
Yoo MJ, Bridwell RE, Oliver JJ
Am J Emerg Med 2021 Apr;42:262.e1-262.e2. Epub 2020 Sep 6 doi: 10.1016/j.ajem.2020.08.100. PMID: 32933811
An unusual cause of 'dextrocardia'.
Rodrigues JC, Baritussio A, Foley PW, Manghat NE
Eur Heart J Cardiovasc Imaging 2017 Apr 1;18(4):488. doi: 10.1093/ehjci/jew319. PMID: 28087601
Assessing computerized eye tracking technology for gaining insight into expert interpretation of the 12-lead electrocardiogram: an objective quantitative approach.
Bond RR, Zhu T, Finlay DD, Drew B, Kligfield PD, Guldenring D, Breen C, Gallagher AG, Daly MJ, Clifford GD
J Electrocardiol 2014 Nov-Dec;47(6):895-906. Epub 2014 Jul 18 doi: 10.1016/j.jelectrocard.2014.07.011. PMID: 25110276
Lead aVR--the neglected lead.
Chenniappan M, Sankar RU, Saravanan K, Karthikeyan
J Assoc Physicians India 2013 Sep;61(9):650-4. PMID: 24772703

Diagnosis

Acute coronary syndrome in Dextrocardia.
Yoo MJ, Bridwell RE, Oliver JJ
Am J Emerg Med 2021 Apr;42:262.e1-262.e2. Epub 2020 Sep 6 doi: 10.1016/j.ajem.2020.08.100. PMID: 32933811
ECG Diagnosis: Dextrocardia.
Mozayan C, Levis JT
Perm J 2019;23 Epub 2019 Aug 15 doi: 10.7812/TPP/18.244. PMID: 31496498Free PMC Article
An Unusual Electrocardiogram.
Trohman RG, Dewdney SB, Sharma PS
Pediatr Cardiol 2018 Dec;39(8):1717-1718. Epub 2018 Sep 19 doi: 10.1007/s00246-018-1988-3. PMID: 30232513
Lead aVR--the neglected lead.
Chenniappan M, Sankar RU, Saravanan K, Karthikeyan
J Assoc Physicians India 2013 Sep;61(9):650-4. PMID: 24772703
The cardiac malpositions.
Perloff JK
Am J Cardiol 2011 Nov 1;108(9):1352-61. Epub 2011 Aug 20 doi: 10.1016/j.amjcard.2011.06.055. PMID: 21861958

Therapy

Insertion of a totally implantable vascular access device in a patient with dextrocardia and colon cancer: a case report.
Dong M, Huang L, Zhang Q, Piao Y, Liu Z, Zhu S, Luo H
J Int Med Res 2023 Oct;51(10):3000605231208594. doi: 10.1177/03000605231208594. PMID: 37903317Free PMC Article
Catheter ablation of supraventricular tachycardia in patients with dextrocardia and situs inversus.
Zhou GB, Ma J, Zhang JL, Guo XG, Yang JD, Liu SW, Ouyang FF
J Cardiovasc Electrophysiol 2019 Apr;30(4):557-564. Epub 2019 Jan 25 doi: 10.1111/jce.13847. PMID: 30661266
Aeroembolism in left atrium during catheter ablation of atrial fibrillation in a patient with dextrocardia: a case report and review of the literature.
Wang YF, Cen XJ, Yu JW, Qu BM, Wang LH
BMC Cardiovasc Disord 2017 Jun 2;17(1):143. doi: 10.1186/s12872-017-0581-7. PMID: 28577360Free PMC Article
Tetralogy of fallot with dextrocardia and situs inversus in a 7-year-old boy.
Dilorenzo M, Weinstein S, Shenoy R
Tex Heart Inst J 2013;40(4):481-3. PMID: 24082385Free PMC Article
Intracardiac electrography in children and young adults.
Gillette PC, Reitman MJ, Gutgesell HP, Vargo TA, Mullins CE, McNamara DG
Am Heart J 1975 Jan;89(1):36-44. doi: 10.1016/0002-8703(75)90007-1. PMID: 45875

Prognosis

Electrocardiographic abnormalities in patients with microtia.
Yang Y, Tian X, Sun P, Zhao X, Hu J, Pan B
Sci Rep 2024 May 3;14(1):10191. doi: 10.1038/s41598-024-60610-9. PMID: 38702362Free PMC Article
Dextrocardia: Why Significant Left-Axis Deviation?
Li Y, Liu R, Zhang X
Circulation 2017 Oct 24;136(17):1662-1664. doi: 10.1161/CIRCULATIONAHA.117.031095. PMID: 29061578
An unusual cause of 'dextrocardia'.
Rodrigues JC, Baritussio A, Foley PW, Manghat NE
Eur Heart J Cardiovasc Imaging 2017 Apr 1;18(4):488. doi: 10.1093/ehjci/jew319. PMID: 28087601
Lead aVR--the neglected lead.
Chenniappan M, Sankar RU, Saravanan K, Karthikeyan
J Assoc Physicians India 2013 Sep;61(9):650-4. PMID: 24772703
Tetralogy of fallot with dextrocardia and situs inversus in a 7-year-old boy.
Dilorenzo M, Weinstein S, Shenoy R
Tex Heart Inst J 2013;40(4):481-3. PMID: 24082385Free PMC Article

Clinical prediction guides

Regular Tachycardia With Abnormal QRS Axis.
Choudhury R, Duytschaever M, Knecht S, Vandekerckhove Y, Tavernier R
Circulation 2017 Dec 12;136(24):2386-2388. doi: 10.1161/CIRCULATIONAHA.117.031755. PMID: 29229622
Dextrocardia: Why Significant Left-Axis Deviation?
Li Y, Liu R, Zhang X
Circulation 2017 Oct 24;136(17):1662-1664. doi: 10.1161/CIRCULATIONAHA.117.031095. PMID: 29061578
Assessing computerized eye tracking technology for gaining insight into expert interpretation of the 12-lead electrocardiogram: an objective quantitative approach.
Bond RR, Zhu T, Finlay DD, Drew B, Kligfield PD, Guldenring D, Breen C, Gallagher AG, Daly MJ, Clifford GD
J Electrocardiol 2014 Nov-Dec;47(6):895-906. Epub 2014 Jul 18 doi: 10.1016/j.jelectrocard.2014.07.011. PMID: 25110276
Lead aVR--the neglected lead.
Chenniappan M, Sankar RU, Saravanan K, Karthikeyan
J Assoc Physicians India 2013 Sep;61(9):650-4. PMID: 24772703
Focal atrial fibrillation in dextrocardia.
Yamada T, McElderry HT, Doppalapudi H, Platonov M, Epstein AE, Plumb VJ, Kay GN
Ann Noninvasive Electrocardiol 2009 Jul;14(3):301-4. doi: 10.1111/j.1542-474X.2009.00299.x. PMID: 19614643Free PMC Article

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