Cardiol J
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We report a 57 year-old male patient admitted with a diagnosis of non-ST elevation acute myocardial infarction. He had suffered from chest pain, diaphoresis and intense asthenia for three days. The electrocardiogram on admission showed a high frequency sinus tachycardia. ⋯ An echocardiogram suggested an antero-lateral myocardial infarction. Eventually, a left adrenal pheochromocytoma was discovered. Left ventricular function, severely depressed, returned to normal after medical and surgical therapy.
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Case Reports
Primary percutaneous coronary intervention for acute myocardial infarction in a patient with dextrocardia.
Dextrocardia is a rare cardiac anomaly in which the heart is located in the right hemithorax. This developmental irregularity can occur in isolation as situs solitus, or in association with situs inversus or situs ambiguous. Although there are reports of coronary angiography in patients with dextrocardia, there are very few reported cases of mechanical intervention. We report a patient with dextrocardia and situs inversus who presented with an ST segment elevation myocardial infarction and was successfully treated with primary percutaneous coronary intervention.
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Wellens' syndrome is a pattern of electrocardiography T-wave changes associated with critical proximal left anterior descending artery lesion. Patients with Wellens' syndrome are at high risk of the development of extensive myocardial infarction of the anterior wall and death. Thus, it is vital that this finding is recognized promptly. We present a patient with Wellens' syndrome in this article.