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Coronary heart disease in situs inversus totalis

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      Abstract

      In patients with dextrocardia as a part of situs inversus totalis, coronary heart disease may occur with similar frequency and manifestations as in the general population. Diagnostic problems arise from the altered cardiovisceral relation; when these are recognized, coronary heart disease can be defined by the usual criteria. The use of electrocardiographic and vectorcardiographic tracings with right-left reversal of all leads in patients with dextrocardia allows the recognition of abnormalities on the basis of standard criteria. Seven cases are reported, 1 followed up clinically and 6 studied at autopsy.
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