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ACUTE INFERIOR MYOCARDIAL INFARCTION IN DEXTROCARDIA- DIAGNOSTIC AND THERAPEUTIC CHALLENGE

Year 2021, Volume 3, Issue 2, 50 - 55, 31.08.2021

Abstract

Dextrocardia with situs inversus has an incidence of 1 in 10,000 and is a rare cardiac anomaly in which the heart is located in the right hemithorax with the axis directed to the right and caudally. Patients with dextrocardia present a diagnostic challenge, especially in the setting of acute coronary syndrome. The left circumflex artery (LCx) is the least frequent culprit artery for acute myocardial infarction (AMI) in the general population. An electrocardiogram (ECG) has very low sensitivity for detecting ST-segment elevation myocardial infarction (STEMI) if the culprit lesion is in the LCx. The coexistence of dextrocardia and LCx occlusion increases the difficulty of diagnosis via ECG. We herein present a case of dextrocardia and LCx-related STEMI. Coronary heart disease and AMI occur at the same frequency in patients with dextrocardia as in the general population. Notably, given the rarity of dextrocardia, only a few reports to date have described the existence of AMI as a result of acute LCx occlusion in a patient with dextrocardia.

References

  • 1. Nesta M, Mazza A, Perri G, et al. Repair of posterior infarct ventricular septal defect in a patient with dextrocardia and situs inversus. J Card Surg 2016; 31: 147–49.
  • 2. Ibanez B, James S, Agewall S, et al. 2017 ESC Guidelines for the management of acute myocardial infarction in patients presenting with ST-segment elevation: The Task Force for the management of acute myocardial infarction in patients presenting with ST-segment elevation of the European Society of Cardiology (ESC). Eur Heart J 2018; 39: 119–77.
  • 3. Kang MG, Kim K, Park HW, et al. Door-toballoon time and cardiac mortality in acute myocardial infarction by total occlusion of the left circumflex artery. Coron Artery Dis 2018; 29: 409–15.
  • 4. Bauer T, Gitt AK, Hochadel M, et al. Left circumflex artery-related myocardial infarction: does ST elevation matter? Results from the Euro Heart Survey PCI registry. Int J Cardiol 2013; 168: 5239–42.

Year 2021, Volume 3, Issue 2, 50 - 55, 31.08.2021

Abstract

References

  • 1. Nesta M, Mazza A, Perri G, et al. Repair of posterior infarct ventricular septal defect in a patient with dextrocardia and situs inversus. J Card Surg 2016; 31: 147–49.
  • 2. Ibanez B, James S, Agewall S, et al. 2017 ESC Guidelines for the management of acute myocardial infarction in patients presenting with ST-segment elevation: The Task Force for the management of acute myocardial infarction in patients presenting with ST-segment elevation of the European Society of Cardiology (ESC). Eur Heart J 2018; 39: 119–77.
  • 3. Kang MG, Kim K, Park HW, et al. Door-toballoon time and cardiac mortality in acute myocardial infarction by total occlusion of the left circumflex artery. Coron Artery Dis 2018; 29: 409–15.
  • 4. Bauer T, Gitt AK, Hochadel M, et al. Left circumflex artery-related myocardial infarction: does ST elevation matter? Results from the Euro Heart Survey PCI registry. Int J Cardiol 2013; 168: 5239–42.

Details

Primary Language English
Subjects Medicine
Journal Section Research Articles
Authors

Muammer KARAKAYALI> (Primary Author)
KARS HARAKANİ DEVLET HASTANESİ
0000-0001-7385-120X
Türkiye


Timor OMAR>
Kars Harakani Devlet Hastanesi
0000-0002-2481-0505
Türkiye


Mahmut YESİN>
Kafkas Üniversitesi Tıp Fakültesi
0000-0002-2515-1265
Türkiye

Publication Date August 31, 2021
Application Date January 13, 2021
Acceptance Date February 24, 2021
Published in Issue Year 2021, Volume 3, Issue 2

Cite

APA Karakayalı, M. , Omar, T. & Yesin, M. (2021). ACUTE INFERIOR MYOCARDIAL INFARCTION IN DEXTROCARDIA- DIAGNOSTIC AND THERAPEUTIC CHALLENGE . Sabuncuoglu Serefeddin Health Sciences , 3 (2) , 50-55 . Retrieved from https://dergipark.org.tr/en/pub/sshs/issue/64745/860656