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Dextrocardia, Anteroseptal infarction, and Fascicular Block

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Presentation on theme: "Dextrocardia, Anteroseptal infarction, and Fascicular Block"— Presentation transcript:

1 Dextrocardia, Anteroseptal infarction, and Fascicular Block
Philip O. Ettinger, M.D., Russell Braneato, M.D., Deane Penn, M.D.  CHEST  Volume 68, Issue 2, Pages (August 1975) DOI: /chest Copyright © 1975 The American College of Chest Physicians Terms and Conditions

2 FIGURE 1 Standard 12-lead ECG on admission (day 1) and again on day 3 with leads normally placed for individual with situs solitus. ST-T abnormalities are seen, but definite infarction cannot be diagnosed. CHEST  , DOI: ( /chest ) Copyright © 1975 The American College of Chest Physicians Terms and Conditions

3 FIGURE 2 On admission (day 1), 12-lead ECG taken with arm and leg electrodes reversed right for left, and chest leads reversed across chest (V2, V1, V3r, V4R, V5R, and V6r). Usual pattern of anteroseptal infarction is evident. On day 3, hemiblock pattern is seen. CHEST  , DOI: ( /chest ) Copyright © 1975 The American College of Chest Physicians Terms and Conditions

4 FIGURE 3 Right coronary artery, right anterior oblique. Right main artery is normal. Anterior descending vessel (arrow) is small and narrowed near its origin. CHEST  , DOI: ( /chest ) Copyright © 1975 The American College of Chest Physicians Terms and Conditions

5 FIGURE 4 Left coronary artery, right anterior oblique projection. Some irregularities and moderate narrowing are evident, but none cause significant obstruction of vessel. CHEST  , DOI: ( /chest ) Copyright © 1975 The American College of Chest Physicians Terms and Conditions


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