ECG Changes Associated With Right-Sided Pneumothorax

Authors

  • Dimitrios Tsilakis
  • Athanasios Kranidis
  • Spyridon Koulouris
  • Antonis S. Manolis

DOI:

https://doi.org/10.2015/hc.v2i3.39

Keywords:

electrocardiogram, myocardial infarction, chest pain

Abstract

Varius ECG changes have been described with pneumothorax, most often left-sided.We present a case of spontaneous right-sided pneumothorax, presenting with an ECG suggestive of an old myocardial infarction. A chest X-ray confirmed the diagnosis of pneumothorax, while an echocardiogram and serial cardiac enzyme testing excluded myocardial infarction (old or recent). ECG changes returned to normal after chest tube insertion and airdrainage. Physicians must be familiar with the ECG changes that can be caused by pneumothorax in order to avoid diagnostic and therapeutic pitfalls.

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