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Right Heart and Wrong Rhythm: Atrial Flutter in Dextrocardia
Roy Lim1, Navdeep Bais2, Furkhan Ali1
1Internal Medicine, Mount Sinai Hospital, Chicago, USA.
Cureus
|August 21, 2023
Summary
This case highlights atrial flutter in a patient with dextrocardia, emphasizing the importance of recognizing this arrhythmia. Prompt management is crucial due to associated risks like stroke.
Area of Science:
- Cardiology
- Medical Imaging
- Electrophysiology
Background:
- Atrial flutter is a rapid atrial rhythm requiring prompt recognition and management.
- Associated risks include thromboembolic stroke and atrial fibrillation, potentially leading to severe outcomes.
- Structural heart abnormalities are known risk factors for cardiac arrhythmias.
Observation:
- A 47-year-old male presented with difficulty ambulating.
- Electrocardiogram (ECG) revealed atrial flutter with a rapid ventricular response.
- Imaging confirmed dextrocardia, a rare congenital condition where the heart is on the right side.
Findings:
- The case presents a potential association between dextrocardia and the occurrence of atrial flutter.
- Management strategies for atrial flutter were implemented in this patient.
- Treatment outcomes were evaluated following the intervention.
Implications:
- This case underscores the need to consider dextrocardia in the differential diagnosis of arrhythmias.
- Understanding the link between dextrocardia and atrial flutter can improve diagnostic accuracy.
- Further research into the association between dextrocardia and cardiac arrhythmias is warranted.
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