title: Acute Myocardial Infarction in Adult Congenital Patients with Bodily Isomerism.
abstract: BACKGROUND
  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.
authors.affiliation: Department of Pediatrics, Children's Hospital of Wisconsin/Medical College of Wisconsin, Milwaukee, Wis, USA.
authors.forename: Rohit S
authors.initials: RS
authors.lastname: Loomba
authors.affiliation: Department of Medicine, Creighton University Medical Center, Omaha, Neb, USA.
authors.forename: Saurabh
authors.initials: S
authors.lastname: Aggarwal
authors.affiliation: Department of Pediatrics, Children's Hospital of Wisconsin/Medical College of Wisconsin, Milwaukee, Wis, USA.
authors.forename: Matthew
authors.initials: M
authors.lastname: Buelow
authors.affiliation: Department of Medicine, Medical College of Wisconsin, Milwaukee, Wis, USA.
authors.forename: Karan
authors.initials: K
authors.lastname: Nijhawan
authors.affiliation: Department of Medicine, Rush University Medical Center, Chicago, Ill, USA.
authors.forename: Navdeep
authors.initials: N
authors.lastname: Gupta
authors.affiliation: Department of Medicine, Creighton University Medical Center, Omaha, Neb, USA.
authors.forename: Venkata
authors.initials: V
authors.lastname: Alla
authors.affiliation: Department of Medicine, Rosalind Franklin University of Medicine & Sciences, North Chicago, Ill, USA.
authors.forename: Rohit R
authors.initials: RR
authors.lastname: Arora
mesh_terms: D000328:Adult; D016009:Chi-Square Distribution; D016208:Databases, Factual; D005260:Female; D059446:Heterotaxy Syndrome / Q000175:diagnosis / Q000453:epidemiology* / Q000401:mortality / Q000628:therapy; D017052:Hospital Mortality; D006760:Hospitalization; D006801:Humans; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D015999:Multivariate Analysis; D009203:Myocardial Infarction / Q000175:diagnosis / Q000453:epidemiology* / Q000401:mortality / Q000628:therapy; D016017:Odds Ratio; D012307:Risk Factors; D013997:Time Factors; D014481:United States / Q000453:epidemiology; D055815:Young Adult
keywords: Atrial Isomerism; Coronary Artery Disease; Heart Attack; Heterotaxy; Isomerism; Myocardial Infarction