Reversible, regional ST‐segment elevation due to chylothorax

Chylothorax is an uncommon complication of thoracic surgery and, to our knowledge, has never been documented as a cause of dynamic ST‐segment elevation (STE). A 63‐year‐old woman with history of right pneumonectomy presented with chest pain and regional STE on 12‐lead electrocardiogram (ECG). Normal...

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Autores principales: Brown, Sarah H., Neuss, Michael J., Heimlich, J. Brett, Kronenberg, Marvin W.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2021
Materias:
Case Reports
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8739594/
https://www.ncbi.nlm.nih.gov/pubmed/34747075
http://dx.doi.org/10.1111/anec.12907
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author Brown, Sarah H.
Neuss, Michael J.
Heimlich, J. Brett
Kronenberg, Marvin W.
author_facet Brown, Sarah H.
Neuss, Michael J.
Heimlich, J. Brett
Kronenberg, Marvin W.
author_sort Brown, Sarah H.
collection PubMed
description Chylothorax is an uncommon complication of thoracic surgery and, to our knowledge, has never been documented as a cause of dynamic ST‐segment elevation (STE). A 63‐year‐old woman with history of right pneumonectomy presented with chest pain and regional STE on 12‐lead electrocardiogram (ECG). Normal troponin‐I and a computed tomography (CT) scan showing a large right hemithoracic fluid collection indicated the unique cause of STE, which resolved after thoracentesis, was pericardial inflammation and cardiac compression from chylothorax. This case emphasizes nuances of ECG interpretation in the context of regional STE and explores the pathophysiology that links chylothorax with acute pericarditis.
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spelling pubmed-87395942022-01-12 Reversible, regional ST‐segment elevation due to chylothorax Brown, Sarah H. Neuss, Michael J. Heimlich, J. Brett Kronenberg, Marvin W. Ann Noninvasive Electrocardiol Case Reports Chylothorax is an uncommon complication of thoracic surgery and, to our knowledge, has never been documented as a cause of dynamic ST‐segment elevation (STE). A 63‐year‐old woman with history of right pneumonectomy presented with chest pain and regional STE on 12‐lead electrocardiogram (ECG). Normal troponin‐I and a computed tomography (CT) scan showing a large right hemithoracic fluid collection indicated the unique cause of STE, which resolved after thoracentesis, was pericardial inflammation and cardiac compression from chylothorax. This case emphasizes nuances of ECG interpretation in the context of regional STE and explores the pathophysiology that links chylothorax with acute pericarditis. John Wiley and Sons Inc. 2021-11-07 /pmc/articles/PMC8739594/ /pubmed/34747075 http://dx.doi.org/10.1111/anec.12907 Text en © 2021 The Authors. Annals of Noninvasive Electrocardiology published by Wiley Periodicals LLC. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc-nd/4.0/ (https://creativecommons.org/licenses/by-nc-nd/4.0/) License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made.
spellingShingle Case Reports
Brown, Sarah H.
Neuss, Michael J.
Heimlich, J. Brett
Kronenberg, Marvin W.
Reversible, regional ST‐segment elevation due to chylothorax
title Reversible, regional ST‐segment elevation due to chylothorax
title_full Reversible, regional ST‐segment elevation due to chylothorax
title_fullStr Reversible, regional ST‐segment elevation due to chylothorax
title_full_unstemmed Reversible, regional ST‐segment elevation due to chylothorax
title_short Reversible, regional ST‐segment elevation due to chylothorax
title_sort reversible, regional st‐segment elevation due to chylothorax
topic Case Reports
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8739594/
https://www.ncbi.nlm.nih.gov/pubmed/34747075
http://dx.doi.org/10.1111/anec.12907
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AT kronenbergmarvinw reversibleregionalstsegmentelevationduetochylothorax

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