An Unusual Electrocardiogram in a Heart Transplant Recipient

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Presentation transcript:

An Unusual Electrocardiogram in a Heart Transplant Recipient Hamish I. MacLachlan, BSc, MBBS, Jonathan R. Dalzell, MD, MRCP The American Journal of Medicine Volume 128, Issue 7, Pages e7-e8 (July 2015) DOI: 10.1016/j.amjmed.2015.01.015 Copyright © 2015 Elsevier Inc. Terms and Conditions

Figure 1 Twelve-lead electrocardiogram on admission. The heterotopic heart is situated in the right hemithorax, hence the sinus beats from the heterotopic heart are clearly visible in the right precordial leads (V1-2), whereas in the left precordial leads (V5-6) ventricular fibrillation is more clearly seen because these overlie the native heart. The American Journal of Medicine 2015 128, e7-e8DOI: (10.1016/j.amjmed.2015.01.015) Copyright © 2015 Elsevier Inc. Terms and Conditions

Figure 2 Twelve-lead electrocardiogram after direct-current cardioversion. Two regular narrow-complex QRS complexes of contrasting morphologies are now seen, representing the patient's native (white arrow) and heterotopic heart (black arrow). The American Journal of Medicine 2015 128, e7-e8DOI: (10.1016/j.amjmed.2015.01.015) Copyright © 2015 Elsevier Inc. Terms and Conditions