Most cases of cardiac paracentric transposition are due to congenital factors and are not detrimental. In cases of clockwise transposition combined with high voltage in the leads or right ventricular hypertrophy, it may be due to a primary disease.
The presence of paracentric transposition by itself does not cause any symptoms, and most people with paracentric transposition on ECG do not have any symptoms. If there are also structural abnormalities of the heart (size, wall hypertrophy), the primary disease should be diagnosed and treated, and appropriate health care and preventive measures should be taken.
In case of arrhythmia, the heart may also be transposed in the clockwise direction. Patients with symptoms such as dyspnea, chest tightness, palpitations, etc., are recommended to visit regular hospitals in time for further assessment of their condition by completing 24-hour ambulatory electrocardiogram, cardiac ultrasound and other tests.
It is recommended that patients go to regular hospitals to avoid delays in diagnosis and treatment.