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Volume 353:2515 December 8, 2005 Number 23
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Dextrocardia with Situs Inversus

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 by Yin, L. K.
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To the Editor: We question the electrocardiographic findings in the case of dextrocardia presented by Yin and Mohamed in Images in Clinical Medicine (Sept. 1 issue).1 We agree that the reverse R-wave progression across the precordial leads, with the tallest R wave in V1 progressively decreasing in amplitude in leads V2 to V6, as shown in Panel B of the original image, is typical of dextrocardia. We also agree that a normal pattern is evident in the precordial leads on right-sided electrocardiography (Panel C of the original image). However, the electrical waves should not change in the limb leads . . . [Full Text of this Article]




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