Volume 11, Issue 6 pp. 548-553
ORIGINAL ARTICLE

Acute Myocardial Infarction in Adult Congenital Patients with Bodily Isomerism

Rohit S. Loomba MD

Corresponding Author

Rohit S. Loomba MD

Department of Pediatrics, Children's Hospital of Wisconsin/Medical College of Wisconsin, Milwaukee, Wis, USA

Corresponding Author: Rohit S. Loomba, MD, Department of Pediatrics, Children's Hospital of Wisconsin/Medical College of Wisconsin, 9000 Wisconsin Avenue, Milwaukee, WI 53226, USA. Tel: 414-266-8402; Fax: 414-266-8329; E-mail: [email protected]Search for more papers by this author
Saurabh Aggarwal MD

Saurabh Aggarwal MD

Department of Medicine, Creighton University Medical Center, Omaha, Neb, USA

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Matthew Buelow MD

Matthew Buelow MD

Department of Pediatrics, Children's Hospital of Wisconsin/Medical College of Wisconsin, Milwaukee, Wis, USA

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Karan Nijhawan BS

Karan Nijhawan BS

Department of Medicine, Medical College of Wisconsin, Milwaukee, Wis, USA

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Navdeep Gupta MD

Navdeep Gupta MD

Department of Medicine, Rush University Medical Center, Chicago, Ill, USA

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Venkata Alla MD

Venkata Alla MD

Department of Medicine, Creighton University Medical Center, Omaha, Neb, USA

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Rohit R. Arora MD

Rohit R. Arora MD

Department of Medicine, Rosalind Franklin University of Medicine & Sciences, North Chicago, Ill, USA

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First published: 16 February 2016
Citations: 1

Conflict of interest: None.

Abstract

Introduction

Children born with congenital malformations of the heart are increasingly surviving into adulthood. This population of patients possesses lesion-specific complication risks while still being at risk for common illnesses. Bodily isomerism or heterotaxy, is a unique clinical entity associated with congenital malformations of the heart which further increases the risk for future cardiovascular complications. We aimed to investigate the frequency of myocardial infarction in adults with bodily isomerism.

Methods

We utilized the 2012 iteration of the Nationwide Inpatient Sample to identify adult inpatient admissions associated with acute myocardial infarction in patients with isomerism. Data regarding demographics, comorbidities and various procedures were collected and compared between those with and without isomerism.

Results

A total of 6,907,109 admissions were analyzed with a total of 172,394 admissions being associated with an initial encounter for acute myocardial infarction. The frequency of myocardial infarction did not differ between those with and without isomerism and was roughly 2% in both groups. Similarly, the number of procedures and in-hospital mortality did not differ between the two groups.

Conclusions

The frequency and short-term prognosis of acute myocardial infarction is similar in patients with and without isomerism.

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