II. Pathophysiology

  1. Congenital reversal of viscera
  2. Right sided heart

III. Symptoms

  1. None

IV. Signs

  1. Apical impulse right sided
  2. Right border of heart in right midclavicular line
  3. Left border behind Sternum

V. Diagnostics: Electrocardiogram (EKG)

  1. Inverted P Wave
  2. Inverted T Wave
  3. QRS Complex is negative in Lead I
  4. Lead II and III are reversed from normal appearance
    1. Lead II resembles a normal Lead III
    2. Lead III resembles a normal Lead II

VI. Radiology: Chest XRay

  1. Cardiac shadow reversed

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Ontology: Dextrocardia (C0011813)

Definition (MSH) A congenital defect in which the heart is located on the right side of the THORAX instead of on the left side (levocardia, the normal position). When dextrocardia is accompanied with inverted HEART ATRIA, a right-sided STOMACH, and a left-sided LIVER, the combination is called dextrocardia with SITUS INVERSUS. Dextrocardia may adversely affect other thoracic organs.
Definition (NCI) A rare congenital abnormality in which the heart is located in the right side of the chest. It is associated with other congenital heart defects.
Concepts Congenital Abnormality (T019)
MSH D003914
ICD10 Q24.0
SnomedCT 156925007, 27637000
English Dextrocardias, DEXTROCARDIA, Heart predomin rt hemithorax, Heart predominantly in right hemithorax, dextrocardia, dextrocardia (diagnosis), Dextrocardia [Disease/Finding], right sided heart, Heart predominantly in right hemithorax (disorder), Dextrocardia, Heart in right chest, Right sided heart, Dextrocardia (disorder), heart; malposition, congenital, dextrocardia, malposition; congenital, heart, dextrocardia
French DEXTROCARDIE, Dextroposition cardiaque, Dextrocardie
Portuguese DEXTROCARDIA, Dextrocardia
Japanese 右胸心, ウキョウシン
Swedish Hjärtat på höger kroppssida
Czech dextrokardie, Dextrokardie
Finnish Dekstrokardia
Korean 오른심장증
Polish Położenie serca prawostronne, Dekstrokardia
Hungarian Dextrocardia
Norwegian Dekstrokardi, Høyresidig hjerte, Hjertet på høyre side av kroppen
Dutch hart; liggingsafwijking, congenitaal, dextrocardie, liggingsafwijking; congenitaal, hart, dextrocardie, dextrocardie, Dextrocardie
Spanish corazón en tórax derecho, dextrocardia (trastorno), dextrocardia, Dextrocardia
German Dextrokardie
Italian Destrocardia