TY - JOUR
T1 - Left spontaneous pneumothorax presenting with ST-segment elevations
T2 - A case report and review of the literature
AU - Shiyovich, Arthur
AU - Vladimir, Zeldetz
AU - Nesher, Lior
PY - 2011/1
Y1 - 2011/1
N2 - Common electrocardiogram (ECG) changes associated with left-sided pneumothorax include right axis deviation, reduced R-wave amplitude in precordial leads, QRS alterations (amplitude changes), and T-wave inversions. Few reports exist of ST-segment elevations or changes suggestive of acute myocardial infarction (AMI), and these involve older patients with tension pneumothorax and previous coronary heart disease. We report on a young man with no significant medical history, presenting with left-sided spontaneous pneumothorax and ECG changes that included ST-segment elevations and T-wave inversions in the precordial leads, reminiscent of AMI. All changes resolved after decompression of the pneumothorax. On the basis of the patient's presenting symptoms, response to therapy, and our review of the literature, we propose a number of possible mechanisms explaining his electrocardiographic findings.
AB - Common electrocardiogram (ECG) changes associated with left-sided pneumothorax include right axis deviation, reduced R-wave amplitude in precordial leads, QRS alterations (amplitude changes), and T-wave inversions. Few reports exist of ST-segment elevations or changes suggestive of acute myocardial infarction (AMI), and these involve older patients with tension pneumothorax and previous coronary heart disease. We report on a young man with no significant medical history, presenting with left-sided spontaneous pneumothorax and ECG changes that included ST-segment elevations and T-wave inversions in the precordial leads, reminiscent of AMI. All changes resolved after decompression of the pneumothorax. On the basis of the patient's presenting symptoms, response to therapy, and our review of the literature, we propose a number of possible mechanisms explaining his electrocardiographic findings.
KW - ECG
KW - Pneumothorax
KW - ST elevations
KW - Spontaneous
UR - http://www.scopus.com/inward/record.url?scp=79951494812&partnerID=8YFLogxK
U2 - 10.1016/j.hrtlng.2010.09.007
DO - 10.1016/j.hrtlng.2010.09.007
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C2 - 21320674
AN - SCOPUS:79951494812
SN - 0147-9563
VL - 40
SP - 88
EP - 91
JO - Heart and Lung: Journal of Acute and Critical Care
JF - Heart and Lung: Journal of Acute and Critical Care
IS - 1
ER -
