Usefulness of the Electrocardiogram in a Patient Presenting with Right-Sided Pneumothorax and Presyncope

We present the case of a 71-year-old man with history of smoking, pulmonary emphysema, hypertension, multivessel coronary artery disease and prior coronary artery bypass graft surgery who presented with spontaneous right-sided pneumothorax associated with phasic changes of the QRS amplitude on the e...

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Detalles Bibliográficos
Autores principales: Florescu, Lavinia Maria, Țentea, Călina-Patricia, Eötvös, Csilla-Andrea, Lazar, Roxana-Daiana, Zehan, Iulia-Georgiana, Sabha, Wissam, Pop, Sorin, Todea, Doina Adina, Blendea, Dan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8229150/
https://www.ncbi.nlm.nih.gov/pubmed/34200664
http://dx.doi.org/10.3390/diagnostics11061069
Descripción
Sumario:We present the case of a 71-year-old man with history of smoking, pulmonary emphysema, hypertension, multivessel coronary artery disease and prior coronary artery bypass graft surgery who presented with spontaneous right-sided pneumothorax associated with phasic changes of the QRS amplitude on the electrocardiogram. While several case reports have described QRS amplitude changes associated with left-sided pneumothorax, reports of phasic ECG changes in right-sided pneumothorax are exceedingly rare. Such changes, when present in a patient with sudden onset chest pain and dyspnea, should prompt a diagnostic workup for possible pneumothorax.

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