Atrial Flutter Masquerading as an ST-segment-elevation Myocardial Infarction in a Patient with Dextrocardia

Cody Carter; Ankur N Shah; Mitchell Stelzer; Asim Ahmed

doi:10.19102/icrm.2022.130701

Atrial Flutter Masquerading as an ST-segment-elevation Myocardial Infarction in a Patient with Dextrocardia

J Innov Card Rhythm Manag. 2022 Jul 15;13(7):5083-5086. doi: 10.19102/icrm.2022.130701. eCollection 2022 Jul.

Authors

Cody Carter¹, Ankur N Shah², Mitchell Stelzer³, Asim Ahmed⁴

Affiliations

¹ Department of Internal Medicine, Doctors Hospital, Columbus, OH, USA.
² Department of Cardiology, St. Vincent Hospital, Indianapolis, IN, USA.
³ Department of Cardiology, Doctors Hospital, Columbus, OH, USA.
⁴ Department of Electrophysiology, Ascension Sacred Heart, Pensacola, FL, USA.

Abstract

Electrocardiogram (ECG) findings suggestive of an ST-segment-elevation myocardial infarction (STEMI) often lead to emergent left heart catheterization. Occasionally, non-coronary conditions mimic ECG findings of STEMI, resulting in an increased risk and expenses from emergent transportation and procedures. In this report, we describe diagnostic and management strategies for a case of 1:1 atrial flutter in a patient with dextrocardia presenting as a STEMI.

Keywords: Atrial flutter; catheter ablation; congenital heart disease; intracardiac electrophysiology; mapping.

Publication types

Case Reports