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Articolul urmator |
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SM ISO690:2012 CEBAN, Ilie, BÎTCA, Renata, TOCARCIUC, Iulia, SAMOHVALOV, Elena, FILIMON, Vlad. Dextrocardia cu Situs Inversus – modificări electrocardiografice. In: Congresul consacrat aniversării a 75-a de la fondarea Universității de Stat de Medicină şi Farmacie „Nicolae Testemiţanu”, 21-23 octombrie 2020, Chişinău. Chişinău: USMF, 2020, p. 197. |
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Congresul consacrat aniversării a 75-a de la fondarea Universității de Stat de Medicină şi Farmacie „Nicolae Testemiţanu” 2020 | ||||||
Congresul "Congresul consacrat aniversării a 75-a de la fondarea Universității de Stat de Medicină şi Farmacie „Nicolae Testemiţanu”" Chişinău, Moldova, 21-23 octombrie 2020 | ||||||
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Pag. 197-197 | ||||||
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Background. Dextrocardia with situs inversus is a rare congenital anomaly, with an incidence 1:20000 of alive births, with equal involvement of men and women, diagnosed on imaging evaluation by: electrocardiogram (ECG), echocardiography (EcoCG) and computed tomography (CT). Objective of the study. Evaluation of electrocardiographic criteria in dextrocardia with situs inversus. Material and Methods. The literature review on the field with the evaluation of electrocardiographic changes in patients with dextrocardia for the early establishment of the anomaly that will facilitate their management in the future. Results. Patients with dextrocardia and situs inversus are in 95% asymptomatic, being detected at the routine examination. At ECG: negative P and T waves in the I, aVL leads, the decrease of the R waves and the predominance of the S waves in the V1-V6 leads, the electrical axis of the heart with right deviation, where T flattened in the V4-V6 leads. EcoCG and CT of the internal organs detect a mirror anatomy of the visceral organs with trilobar lung on the left and bilobar on the right, liver and gallbladder on the left and spleen and stomach on the right. Early detection of this abnormality is for real use in the management and treatment of emergency surgical conditions in these patients. Conclusion. Electrocardiographic changes suggestive of dextrocardia with situs inversus in an asymptomatic patient will allow us to diagnose the genetic abnormality early and will be of real use to prevent subsequent diagnostic errors in surgical emergencies. |
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Cuvinte-cheie dextrocardia, situs inversus, electrocardiography, dextrocardie, situs inversus, electrocardiografie |
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