Dextrocardia and situs inversus in a young hypertensive patient: awareness of future diagnostic dilemmas in cardiac events

This case report discusses the incidental discovery of dextrocardia and situs inversus in a 35-year-old male with young-onset hypertension and obesity, who was evaluated for a prolonged cough and secondary hypertension during routine follow-up in a primary care clinic. Despite an unremarkable family history and no other significant clinical features suggestive of secondary hypertension, clinical examination, and imaging revealed incidental dextro-cardia with situs inversus. The patient’s cough was attributed to angiotensin-converting enzyme inhibitors (ACEi) and resolved after switching to an angiotensin receptor blocker (ARB). The incidental cardiac finding and its implications were discussed with the patient, emphasising the importance of awareness in future healthcare encounters.

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