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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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
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author Florescu, Lavinia Maria
Țentea, Călina-Patricia
Eötvös, Csilla-Andrea
Lazar, Roxana-Daiana
Zehan, Iulia-Georgiana
Sabha, Wissam
Pop, Sorin
Todea, Doina Adina
Blendea, Dan
author_facet Florescu, Lavinia Maria
Țentea, Călina-Patricia
Eötvös, Csilla-Andrea
Lazar, Roxana-Daiana
Zehan, Iulia-Georgiana
Sabha, Wissam
Pop, Sorin
Todea, Doina Adina
Blendea, Dan
author_sort Florescu, Lavinia Maria
collection PubMed
description 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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spelling pubmed-82291502021-06-26 Usefulness of the Electrocardiogram in a Patient Presenting with Right-Sided Pneumothorax and Presyncope Florescu, Lavinia Maria Țentea, Călina-Patricia Eötvös, Csilla-Andrea Lazar, Roxana-Daiana Zehan, Iulia-Georgiana Sabha, Wissam Pop, Sorin Todea, Doina Adina Blendea, Dan Diagnostics (Basel) Case Report 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. MDPI 2021-06-10 /pmc/articles/PMC8229150/ /pubmed/34200664 http://dx.doi.org/10.3390/diagnostics11061069 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Case Report
Florescu, Lavinia Maria
Țentea, Călina-Patricia
Eötvös, Csilla-Andrea
Lazar, Roxana-Daiana
Zehan, Iulia-Georgiana
Sabha, Wissam
Pop, Sorin
Todea, Doina Adina
Blendea, Dan
Usefulness of the Electrocardiogram in a Patient Presenting with Right-Sided Pneumothorax and Presyncope
title Usefulness of the Electrocardiogram in a Patient Presenting with Right-Sided Pneumothorax and Presyncope
title_full Usefulness of the Electrocardiogram in a Patient Presenting with Right-Sided Pneumothorax and Presyncope
title_fullStr Usefulness of the Electrocardiogram in a Patient Presenting with Right-Sided Pneumothorax and Presyncope
title_full_unstemmed Usefulness of the Electrocardiogram in a Patient Presenting with Right-Sided Pneumothorax and Presyncope
title_short Usefulness of the Electrocardiogram in a Patient Presenting with Right-Sided Pneumothorax and Presyncope
title_sort usefulness of the electrocardiogram in a patient presenting with right-sided pneumothorax and presyncope
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8229150/
https://www.ncbi.nlm.nih.gov/pubmed/34200664
http://dx.doi.org/10.3390/diagnostics11061069
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