Abstract
Background
Dextrocardia with situs inversus is a rare genetic condition in which the heart and
internal organs are positioned on the opposite side of the body. Diagnosing and treating
acute myocardial infarction correctly in a patient with dextrocardia is a difficult
task.
Case Report
We present the case of an acute anterior wall ST elevation myocardial infarction (STEMI)
in a patient with dextrocardia with situs inversus diagnosed after a lead reversal
electrocardiogram (ECG). The patient then successfully underwent percutaneous coronary
intervention and subsequent multivessel coronary artery bypass grafting. We discuss
the original diagnosis and decision-making, clinical features, ECG characteristics,
and disposition of the patient, as well as a review of the relevant literature.
Why Should an Emergency Physician Be Aware of This?
Emergency physicians must identify and recognize the typical ECG of dextrocardia,
especially when presenting with pathology, as its identification can lead to proper
diagnosis and treatment.
Keywords
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References
- Dextrocardia with situs inversus.(Available at:) (Accessed September 29, 2019)
- The role of electrocardiogram in the diagnosis of dextrocardia with mirror image atrial arrangement and ventricular position in a young adult Nigerian in Ile-Ife: a case report.J Med Case Rep. 2015; 9: 222
- Acute myocardial infarction in dextrocardia - A diagnostic and therapeutic challenge. Can dextrocardia be a risk factor?.J Cardiol Cases. 2017; 17: 48-51
- Emergent percutaneous coronary intervention for acute myocardial infarction in patients with mirror dextrocardia: case reports and brief review.Cardiovasc Diagn Ther. 2016; 6: 267-273
- Einthoven's triangle transparency: a practical method to explain limb lead configuration following single lead misplacements.Rev Cardiovasc Med. 2010; 11: 33-38
- ECG lead misplacement: a brief review of limb lead misplacement.Afr J Emerg Med. 2014; 4: 130-139
Article info
Publication history
Published online: April 30, 2020
Accepted:
March 19,
2020
Received in revised form:
March 18,
2020
Received:
December 19,
2019
Identification
Copyright
© 2020 Elsevier Inc. All rights reserved.
