‘Dextroposition’ a More Likely Diagnosis

Busayo Onafowoke Oguntola, Stephen Olawale Oguntola, Pauleen Ayomide Ukpabio, Opeyemi Ezekiel Ojo and OYELAYO Oluwaseun O
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Busayo Onafowoke Oguntola: Department of Internal Medicine, Afe Babalola University, Ado-Ekiti/ ABUAD Multisystem Hospital.
Stephen Olawale Oguntola: Department of Internal Medicine, Afe Babalola University, Ado-Ekiti/ ABUAD Multisystem Hospital.
Pauleen Ayomide Ukpabio: Department of Internal Medicine, Afe Babalola University, Ado-Ekiti/ ABUAD Multisystem Hospital.
Opeyemi Ezekiel Ojo: Department of Internal Medicine Ekiti State University/Ekiti State University Teaching Hospital, Ado-Ekiti
OYELAYO Oluwaseun O: Radiology Department, Afe Babalola University, Ado-Ekiti/ ABUAD Multisystem Hospital

International Journal of Research and Scientific Innovation, 2024, vol. 11, issue 9, 355-359

Abstract: Disorders of cardiac positioning can pose difficulty during the acquisition of transthoracic echocardiography views. Especially when adequate clinical history is unavailable to the echocardiographer, the presence of the heart within the right hemithorax brings dextrocardia to mind, especially in young adults. Cardiac dextroposition is a great mimic of dextrocardia except that the base to the apex is directed leftwards. We report the resting electrocardiogram (ECG) findings in two cases of cardiac dextroposition due to the mass effect of an emphysematous bulla in a young female and a left-sided diaphragmatic hernia in a middle-aged man. Our findings of low QRS voltages in V4-V6 in case one and V2-V6 in the second case suggest that the non-specific findings of low QRS in precordial leads without poor R wave progression in the presence of cardiac silhouette within the right hemithorax in suggest dextroposition rather than dextrocardia.

Date: 2024
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