{"id":28572,"date":"2019-02-04T03:40:30","date_gmt":"2019-02-04T03:40:30","guid":{"rendered":"https:\/\/johnsonfrancis.org\/professional\/?p=28572"},"modified":"2024-02-02T21:20:01","modified_gmt":"2024-02-02T15:50:01","slug":"ecg-quiz-45","status":"publish","type":"post","link":"https:\/\/johnsonfrancis.org\/professional\/ecg-quiz-45\/","title":{"rendered":"What is your diagnosis?"},"content":{"rendered":"<p><iframe loading=\"lazy\" width=\"560\" height=\"315\" src=\"https:\/\/www.youtube.com\/embed\/FzfZqmEbchY?si=auRKYZew3qfz_Kvj\" title=\"YouTube video player\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" allowfullscreen><\/iframe><\/p>\n<h2><span style=\"color: #008000;\">ECG Quiz 45<\/span><\/h2>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-28573\" src=\"https:\/\/johnsonfrancis.org\/professional\/wp-content\/uploads\/2019\/02\/ECG-1.jpg\" alt=\"\" width=\"2000\" height=\"1432\" \/><\/p>\n<p style=\"text-align: center;\"><a href=\"https:\/\/johnsonfrancis.org\/professional\/wp-content\/uploads\/2019\/02\/ECG-1.jpg\" target=\"_blank\" rel=\"noopener noreferrer\"><strong>Click here for a larger image<\/strong><\/a><\/p>\n<p><span style=\"color: #ff00ff;\"><strong>What is your diagnosis? What other investigation would you like to see?<\/strong><\/span><\/p>\n<p>Negative P, QRS and T waves in I and aVL with progressive decrease in QRS amplitude from V1-V6 is suggestive of dextrocardia with situs inversus. If there is associated bronchiectasis, it becomes Kartagener syndrome, which is also called immotile ciliary syndrome, an autosomal recessive genetic disorder. The ciliary motility of respiratory tract, paranasal sinuses, middle ear, Eustachian tube and Fallopian tube can be affected. Sperm motility can also be affected by involvement of the flagellum. Rather than being fully immotile it is inefficient or asynchronous movement of the cilia. Infertility, sinusitis and bronchiectasis are the features which may manifest to a variable extend.<\/p>\n<figure id=\"attachment_28576\" aria-describedby=\"caption-attachment-28576\" style=\"width: 583px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-28576\" src=\"https:\/\/johnsonfrancis.org\/professional\/wp-content\/uploads\/2019\/02\/dextrocardiaCXR.jpg\" alt=\"Kartagener syndrome\" width=\"583\" height=\"534\" \/><figcaption id=\"caption-attachment-28576\" class=\"wp-caption-text\"><em><span style=\"color: #0000ff;\"><strong>Kartagener syndrome<\/strong><\/span><\/em><\/figcaption><\/figure>\n<p>Chest X-ray shows dextrocardia with situs inversus &#8211; gastric air bubble on right side, liver shadow on left side, aortic knuckle on right side, and features of bronchiectasis in the lower zones.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>ECG Quiz 45 Click here for a larger image What is your diagnosis? What other investigation would you like to see? Negative P, QRS and T waves in I and aVL with progressive decrease in QRS amplitude from V1-V6 is suggestive of dextrocardia with situs inversus. If there is associated bronchiectasis, it becomes Kartagener syndrome, [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":28573,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"nf_dc_page":"","footnotes":""},"categories":[6,7],"tags":[],"class_list":["post-28572","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-ecg-electrophysiology","category-ecg-library"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.9 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>What is your diagnosis? - All About Cardiovascular System and Disorders<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/johnsonfrancis.org\/professional\/ecg-quiz-45\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"What is your diagnosis? - All About Cardiovascular System and Disorders\" \/>\n<meta property=\"og:description\" content=\"ECG Quiz 45 Click here for a larger image What is your diagnosis? What other investigation would you like to see? Negative P, QRS and T waves in I and aVL with progressive decrease in QRS amplitude from V1-V6 is suggestive of dextrocardia with situs inversus. If there is associated bronchiectasis, it becomes Kartagener syndrome, [&hellip;]\" \/>\n<meta property=\"og:url\" content=\"https:\/\/johnsonfrancis.org\/professional\/ecg-quiz-45\/\" \/>\n<meta property=\"og:site_name\" content=\"All About Cardiovascular System and Disorders\" \/>\n<meta property=\"article:published_time\" content=\"2019-02-04T03:40:30+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2024-02-02T15:50:01+00:00\" \/>\n<meta name=\"author\" content=\"Johnson Francis\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"Johnson Francis\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"1 minute\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/ecg-quiz-45\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/ecg-quiz-45\\\/\"},\"author\":{\"name\":\"Johnson Francis\",\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/#\\\/schema\\\/person\\\/5441d907049b914770f4bd98fb57feec\"},\"headline\":\"What is your diagnosis?\",\"datePublished\":\"2019-02-04T03:40:30+00:00\",\"dateModified\":\"2024-02-02T15:50:01+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/ecg-quiz-45\\\/\"},\"wordCount\":169,\"publisher\":{\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/#\\\/schema\\\/person\\\/5441d907049b914770f4bd98fb57feec\"},\"image\":{\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/ecg-quiz-45\\\/#primaryimage\"},\"thumbnailUrl\":\"\",\"articleSection\":[\"ECG \\\/ Electrophysiology\",\"ECG Library\"],\"inLanguage\":\"en-US\"},{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/ecg-quiz-45\\\/\",\"url\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/ecg-quiz-45\\\/\",\"name\":\"What is your diagnosis? 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