In a new issue of EP Lab Digest®,Todd J. Cohen, MD, FACC, FHRS and colleagues from Winthrop University Hospital present a brief case of situs inversus totalis, a congenital condition in which all the major visceral organs are mirrored from their normal position. A 17-year-old male with a history of situs inversus totalis was referred by his internist to Winthrop University Hospital for clearance prior to joining the fire department. The referring internist was astute enough to reverse the limb leads and place the precordial leads across the right chest.
Dr. Cohen is the Emeritus Editor-in Chief of EP Lab Digest®, author of the Practical Electrophysiology series, and author of the Johns Hopkins Health Book entitled A Patient’s Guide to Heart Rhythm Problems. He is also the Director of Electrophysiology and the Pacemaker/Arrhythmia Center at Winthrop University Hospital.
In another recent article, Dr. Cohen and Dhimesh P. Patel, MD summarized the confusion between syncope and seizure disorder. They write that an electrophysiology consult should be considered in any patient suspected of having a seizure, especially when history points to a cardiac condition such as coronary artery disease or left bundle branch block.