PMID- 32359913
OWN - NLM
STAT- MEDLINE
DCOM- 20210527
LR  - 20210527
IS  - 0736-4679 (Print)
IS  - 0736-4679 (Linking)
VI  - 58
IP  - 5
DP  - 2020 May
TI  - ST-Elevation Myocardial Infarction in a Patient Having Dextrocardia with Situs 
      Inversus.
PG  - 797-801
LID - S0736-4679(20)30156-6 [pii]
LID - 10.1016/j.jemermed.2020.03.020 [doi]
AB  - 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.
CI  - Copyright (c) 2020 Elsevier Inc. All rights reserved.
FAU - Elliott, Stephen
AU  - Elliott S
AD  - Department of Emergency Medicine, Good Samaritan Hospital Medical Center, West 
      Islip, New York.
FAU - Levy, David
AU  - Levy D
AD  - Department of Emergency Medicine, Good Samaritan Hospital Medical Center, West 
      Islip, New York.
FAU - Brown, Howard
AU  - Brown H
AD  - Department of Emergency Medicine, Good Samaritan Hospital Medical Center, West 
      Islip, New York.
LA  - eng
PT  - Case Reports
PT  - Journal Article
PT  - Review
DEP - 20200430
PL  - United States
TA  - J Emerg Med
JT  - The Journal of emergency medicine
JID - 8412174
SB  - IM
MH  - *Dextrocardia/complications/diagnosis
MH  - Electrocardiography
MH  - Humans
MH  - *Percutaneous Coronary Intervention
MH  - *ST Elevation Myocardial Infarction/complications/diagnosis
MH  - *Situs Inversus/complications/diagnosis
OTO - NOTNLM
OT  - ECG
OT  - STEMI
OT  - cardiology
OT  - dextrocardia
OT  - situs inversus
EDAT- 2020/05/04 06:00
MHDA- 2021/05/28 06:00
CRDT- 2020/05/04 06:00
PHST- 2019/12/19 00:00 [received]
PHST- 2020/03/18 00:00 [revised]
PHST- 2020/03/19 00:00 [accepted]
PHST- 2020/05/04 06:00 [pubmed]
PHST- 2021/05/28 06:00 [medline]
PHST- 2020/05/04 06:00 [entrez]
AID - S0736-4679(20)30156-6 [pii]
AID - 10.1016/j.jemermed.2020.03.020 [doi]
PST - ppublish
SO  - J Emerg Med. 2020 May;58(5):797-801. doi: 10.1016/j.jemermed.2020.03.020. Epub 
      2020 Apr 30.