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European Heart Journal 1995 16(7):1011-1013;
Copyright © 1995 by the European Society of Cardiology.
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© 1995 The European Society of Cardiology

False diagnosis of myocardial infarction due to an extreme left sided cardiac rotation in two patients

A. VALENTIN, R. KARNIK, E. SEHNAL, W. B. WINKLER, D. TSCHOLAKOFF* and J. SLANY

*II. Medical Department, Department of Radiology Juchgasse 25, A-1030 Vienna, Austria
Krankenanstalt Rudolfstiftung Juchgasse 25, A-1030 Vienna, Austria

Received 29 September 1994; revised 29 September 1994; accepted 20 October 1994.

Correspondence: Andreas Valentin, MD, II. Medical Department, KA Rudolfstiftung, Juchgasse 25, A-1030 Vienna, Austria.

Abstract

We present two patients with an extremely rare condition: abnormal cardiac levoposition. Alterations in the ECG caused by this congenital abnormality and additional chest symptoms led to the false diagnosis of previous myocardial infarction. Chest X-ray and echocardiography suggested cardiac malformation. Correct diagnosis of cardiac levoposition was established by magnetic resonance imaging.

Key Words: cardiac levoposition • cardiac MRI (magnetic resonance imaging) • pseudo-infarction pattern


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