Why the study?
Atrial flutter carries risks of thromboembolic stroke and atrial fibrillation, but its association with dextrocardia, management, and treatment outcomes required examination.
This case highlights the rare presentation of atrial flutter with rapid ventricular response in a patient with dextrocardia and situs inversus, demonstrating successful management with standard pharmacological cardioversion.
Case of atrial flutter with dextrocardia underscores diagnostic vigilance; leaves open questions on tailored management in rare anatomies.
Atrial flutter is characterized by rapid atrial activity, causing an abnormal heart rhythm. Recognition and prompt management are of utmost importance since this cardiac arrhythmia could increase the risk of thromboembolic stroke and atrial fibrillation, which may lead to disability and death. Risk factors include myocardial infarction, surgery, medication, and structural heart abnormalities. One distinctive structural abnormality is dextrocardia. Herein, we present a case of a 47-year-old male who initially complains of difficulty in ambulation. Further workup showed atrial flutter with rapid ventricular response on electrocardiogram (ECG) and dextrocardia on imaging. This case tackles the possible association between dextrocardia and arrhythmias, which was an atrial flutter, its management, and treatment outcomes.
No takes yet. Share an insight, caveat, or question.
Lim et al. (2023) studied this question.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: