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Pediatric Cardiology

, Volume 39, Issue 8, pp 1717–1718 | Cite as

An Unusual Electrocardiogram

  • Richard G. Trohman
  • Summer B. Dewdney
  • Parikshit S. Sharma
Images in Pediatric Cardiology

Abstract

A 56-year-old female was hospitalized and her admission ECG differed from previous tracings. Knowledge of variant cardiac anatomy along with awareness of common pitfalls in ECG recording reveals the clinical diagnosis and explains the difference.

Keywords

Anatomic variation Electrocardiography Lead reversal 

Notes

Compliance with Ethical Standards

Conflict of interest

The authors declare that they have no conflicts of interest.

Ethical Approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Informed Consent

Informed consent was obtained from all individual participants included in the study.

References

  1. 1.
    Dextrocardia: ECG Features of Dextrocardia. https://lifeinthefastlane.com/ecg-library/basics/dextrocardia. Accessed 5 Mar 2018
  2. 2.
    Mirowski M, Neill CA, Bahnson HT, Taussig HB (1962) Negative P waves in lead I in dextroversion: differential diagnosis from mirror-inage dextrocardia with a report of a successful closure of a ventricular septal defect in a patient with dextroversion associated with agenesis of the right lung. Circulation 26:413–420CrossRefGoogle Scholar
  3. 3.
    Chou TC, Knilans TK (1996) Electrocardiography in clinical practice: adult and pediatric, 4th edn. WB Saunders Company, PhiladelphiaGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Division of Cardiology, the Department of Medicine, and the Department of Obstetrics and GynecologyRush University Medical CenterChicagoUSA
  2. 2.Rush University Medical CenterChicagoUSA

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