Patient with recurrent respiratory tract infections, infertility with this ECG. diagnosis?

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first check lead 1 .. all p qrs negative in lead 1 and positive in avr ..it means it's either dextrocardia or wrong lead placement... now check chest leads ..if r wave progression is normal it's reversal of leads ...if no r wave progression it's dextrocardia...

Agreed c dr rashid vora sir
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Nicely explained by Dr.rashid . Indeed with this infertility history and this ECG it is dextrocardia mostly in Kartagener syndrome . But this is an uncommon presentation . even we being chest physicians occasionally see kartagnrs in routine . Learn the common presentation which will be very commonly seen with chronic respiratory conditions . In this ECG only had the avr been negative and lead 1 positive that is normal ECG findings along with that otherwise ECG was same I.e. poor r wave progression from lead v1 to v6 , persistence of s wave in v6 , r/s ratio >1 in v1 , r/s ratio <1 in v6 , incomplete rbbb.... all these findings are very common with chronic respiratory diseases due to right vntricular strain seen due to chronic hypoxia ....

very well explained Dr.ankush .. it's rare disorder.. one has to see carefully for Ecg changes u hv mentioned... thank you ..
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1)Revese limb lead 2)if LEADS are correct than r/oDEXTROCARFIA WITH ASSOCIATED SITUSINVRTUS PL. DO XRAY CHEST AND STANDINGVABD.

Primary ciliary dyskinesia with dextrocardia....

pt might have tuberculosis of abdomen.

dextrocardia.... kartanager syndrome...

do u mean Kartagener?
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technical dextrocardia...

dextrocardia

Katageners

NSTEMI

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