Be prepared for the unexpected: Mind-stretching in ST-elevation myocardial infarction with situs inversus totalis
Giacomo Viggiani1,2, Tareq Ibrahim1,2, Julia Allescher1,2
1Technical University of Munich (TUM) Munich Germany.
Insights
Situs inversus totalis patients have a similar risk of myocardial infarction. Electrocardiograms with right precordial leads and modified coronary angiography are vital for diagnosis and treatment.
Area of Science:
- Cardiology
- Medical Diagnostics
- Congenital Conditions
Background:
- Situs inversus totalis is a rare congenital condition where major visceral organs are reversed.
- The cardiovascular risk, specifically myocardial infarction, in these patients is not well-defined but presumed similar to the general population.
Abstract:
Situs inversus totalis is a rare diagnosis, but the likelihood of experiencing myocardial infarction is presumed to be comparable to the general population average. In individuals exhibiting situs inversus with suspected myocardial infarction, ECG recording, including right precordial leads, is crucial for diagnostic assessment. Coronary angiography and intervention should be performed with standard equipment using inverted maneuvers and radiographic projections.
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