Introduction: Anterior myocardial infarction has higher mortality and morbidity than other types. Dextrocardia is a cardiac position that is a mirror image of normal anatomy. In patients with dextrocardia, the standard 12-lead ECG is characteristic. Renal infarction is frequently missed or delayed because the patients present with flank pain that is similar to other common conditions. Case presentation: A 58-year-old male, Egyptian worker, was admitted to the intensive care unit (ICU) with CHF, hypotension, hematuria, and uncontrolled diabetes. Conclusion: "Yasser’s V1-aVR rhythm syndrome" is a newly described syndrome with a constellation of characteristic STE with preceding pathological Q wave, ending with slight shallow inversion in V1, biphasic P wave with a slight terminal portion in V1 lead, dominant small R with transient conversion to QS in V1 lead after management, PR prolongation sparing aVR, pathological Q waves in anterior and high lateral leads except V5 and V6 with some variations, a fixed RAD, four new types of QRS fragmentation, a transient QTc prolongation, a few transient PVCs with STE elevation and without. "Diagonal biting compressive radiological Yasser’s sign" is a newly described sign characterized by an irregular diagonal biting-shape in the right middle para-mediastinal region of the heart. It is associated with an irregular diagonal extension dilation-shape area in the opposite left middle para-mediastinal region of the heart. The right PA and the lower part of the SVC are targets for the first right diagonal, but the PA trunk is a target for the second left diagonal. The diagonals are decreasing in size with subsequent management. Future research will be recommended.

Dr. Yasser Mohammed Hassanain Elsayed is a scientist, critical care physician, cardiologist, and independent researcher at the Ministry of Health in Egypt. He has (158) publicized articles with (33) Innovations. They included (6) "Yasser’s sign", (8) "Yasser’s phenomenon", (1) "Yasser’s modification", (2) "Yasser’s maneuver", (1) “Yasser’s method”, (1) “Yasser’s test”, (7) “Yasser’s syndrome”, (1) "Yasser’s fibrillation", (1) "Yasser’s procedure", (1) Yasser’s ECG palpitations wave, (1) Factitious Yasser's infarction, (1) "Yasser’s criterion"", (1) "Yasser's conversions", and (1) "Amiodarone off-phenomenon. He was an international speaker in (42) Conferences, (7) Keynote speaker, reviewed (more than 345 articles), was an honorable editor for (275) Journals, (13) Conferences, OCM, and was an instructor in (15) official and (135) non-official training. He has (53) COVID-19 publicized articles; He was nominated for big prizes such as the Breakthrough Prize, the Einstein Prize, etc. He gained (more than 191) excellence certificates.