Electrocardiographic Changes Associated With Right-sided Pneumothorax

Authors

  • Dimitrios Tsilakis
  • Athanasios Kranidis
  • Antonis S. Manolis

DOI:

https://doi.org/10.2015/hc.v3i1%20sup.130

Keywords:

electrocardiogram, myocardial infarction, chest pain, pneumothorax

Abstract

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

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Athens Cardiology Update 2008