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STEMI in a patient with mirror-image dextrocardia

Harris, K. Yvonne DSc, EMPA-C; Umar, Mohamad DSc, EMPA-C

Journal of the American Academy of PAs: October 2019 - Volume 32 - Issue 10 - p 25–28
doi: 10.1097/01.JAA.0000579180.30494.4d
Case Report
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ABSTRACT ST-segment elevation myocardial infarction (STEMI) is a potentially life-threatening diagnosis that cannot be missed on ECG interpretation. However, ECG interpretation may not be straightforward in patients with dextrocardia. This case report discusses the presentation of a patient with situs inversus with dextrocardia who was found to have an acute inferior MI, and how this anatomical change results in an atypical ECG and clinical presentation.

K. Yvonne Harris is a graduate of the US Army-Baylor University doctor of science emergency medicine PA residency program and practices emergency medicine at the Eglin Air Force Base hospital in Florida. Mohamad Umar is on the faculty of the US Army-Baylor University emergency medicine PA residency program and practices emergency medicine at San Antonio Military Medical Center. The views expressed in this article are those of the authors and do not reflect the official policy or position of Brooke Army Medical Center, the US Army Medical Department, the US Army Office of the Surgeon General, the Department of the Army, the Department of the Air Force, the Department of Defense, or the US government. The authors have disclosed no potential conflicts of interest, financial or otherwise.

Copyright © 2019 American Academy of Physician Assistants
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