ECG Diagnosis: Dextrocardia

Dextrocardia with situs inversus (also referred to as situs inversus totalis) is a rare congenital anomaly whereby the position of the abdominal and thoracic viscera are reversed.1 The occurrence of this congenital anomaly has been reported to range between 1/6000 to 1/35000 live births and affects males and females equally.2 The affected population with dextrocardia with situs inversus usually does not need any specific treatment except when they are symptomatic or whenever any treatable congenital heart anomaly is present. However, the recognition of this congenital condition is essential when any interventional procedure or emergency surgery is going to be performed in order to avoid any mishaps.3 In our case, a 43-year-old woman presented to the Emergency Department (ED) with chest pain and was found to have dextrocardia with situs inversus by physical examination, electrocardiogram (ECG), and chest radiography.