T incidence of coronary artery disease (CAD) in those with situs inversus (SI) is similar to that in the general population.1 Dextrocardia with complete SI occurs in approximately one per 10,000 live births,2 and is accompanied by congenital heart disease (usually transposition of the great vessels) in only 3-5% of cases.3 Patient having this anomaly and presenting with myocardial infarction (M...

Background: A cardiac syndrome of “apical ballooning” was recently described, consisting of an acute onset of transient extensive akinesia of the apical and mid portions of the left ventricle, without significant stenosis on the coronary angiogram, accompanied by chest symptoms, ECG changes, and a limited release of cardiac markers disproportionate to the extent of akinesia. Until now, this syn...

A double-blind trial demonstrates the effectiveness of adding hyaluronidase to lignocaine with adrenaline in producing ocular akinesia and anaesthesia in retrobulbar nerve blocks. 92% of the blocks in which hyaluronidase was used for intracapsular cataract surgery were judged successful compared with 56% of those without added hyaluronidase (p less than 0.01).