Electrocardiographic Changes With Right-Sided Pneumothorax

Alikhan, Mir; Jh, Biddison

doi:10.1097/00007611-199807000-00016

Cited by 11 publications

(4 citation statements)

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“…1 Various ECG changes have been reported with spontaneous pneumothorax of both left 1,5,6 and right sides. 7,8 The spectrum of such ECG findings includes a change in axis, ST-segment elevation, diminished R-wave amplitude, poor progression across chest leads and inverted T-waves. 5,8 Most often, these changes revert to normal with decompression of the pneumothorax.…”

Section: Discussionmentioning

confidence: 99%

Large right-sided pneumothorax with Takotsubo cardiomyopathy

Mahadevappa

Kulkarni²,

Poornima

2023

NMJI

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Patients with left-sided pneumothorax presenting with electrocardiogram (ECG) changes resembling acute coronary syndrome (ACS) have been reported in the literature. Takotsubo cardiomyopathy (TCM) occurs predominantly in post-menopausal women with underlying intense emotional or physical stress. However, as this case report shows, it can complicate any acute illness leading to intense stress. We report a rare combination of ECG changes mimicking ACS in a man with a large right-sided pneumothorax and TCM.

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Section: Discussionmentioning

confidence: 99%

Large right-sided pneumothorax with Takotsubo cardiomyopathy

Mahadevappa

Kulkarni²,

Poornima

2023

NMJI

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“…The term 'pneumothorax' was first reported by Itard and then Laennec in 1803 and 1819 respectively [5,6]. The diagnosis is confirmed by physical examination, chest radiography and thoracoscopic examination [2,7]. Therapeutic options are variations, and include the conservative, intermediate and invasive procedures [2].…”

Section: Discussionmentioning

confidence: 99%

Could Recurrent Anxiety be a New Surgical Indication for Patients with Spontaneous Pneumothorax?

Yazka¹

2013

JCAM

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Amaç: Anksiyete, bedensel, duygusal, bilişsel ve davranışsal bileşenleri ile karakterize, psikolojik ve fizyolojik bir durumdur. Bu rahatsızlık, sosyal, mesleki veya diğer önemli alanlarda klinik olarak anlamlı bir sıkıntı ya da bozukluğa yol açar. Tekrarlama anksiyetesi spontan pnömotorakslı hastalarda ciddi bir klinik durumdur ve bazı hastalarda güçlü bir kaygı ve riskli aktivitelerden kaçınma olabilir. Bu çalışmada, "tekrarlama anksiyetesi spontan pnömotorakslı hastalarda yeni bir cerrahi endikasyon olabilir mi?" sorusuna cevap arandı. Gereç ve Yöntem: Toplam 36 spontan pnömotorakslı olgu değerlendirildi, hastaneye kendi istekleri ile tekrarlama anksiyetesi nedeniyle başvurma sıklık verileri toplandı. Hastalar her başvurularında göğüs radyogramı ile değerlendirildiler. Bulgular: Preoperatif dönemde 19 (%52.8) hasta, postoperatif dönemde 2 (%5.6) hasta takip dönemi boyunca tekrarlama anksiyetesi nedeniyle hastaneye başvurdu. Ameliyat öncesi ve sonrası dönem arasında hastaneye başvuru sıklığı arasında yaklaşık 9.5 kat fark vardı. Sonuç: Atak sonrası ciddi tekrarlama anksiyetesi olan ve yaşam kalitesi azalan spontan pnömotorakslı hastalarda cerrahi yaklaşım tercih edilebilir. Özellikle torakoskopik cerrahi, genç ve sağlıklı spontan pnömotorakslı hastalarda ilk atakda tercih edilen yöntem olmalıdır.

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“…Among these changes the most consistently reported were the phasic QRS voltage changes in relationship with the respiratory movements. While most reports have described ECG changes in patients with left-sided PTX, there are a few reports of ECG alterations associated with right-sided PTX as well [15,18]. One possible mechanism behind the voltage alternation of the QRS complexes is the change in the position of the heart within the thoracic cavity with respiration [3].…”

Section: Phasic Variations In the Qrs Complex Amplitudementioning

confidence: 99%

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

et al. 2021

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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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Electrocardiographic Changes With Right-Sided Pneumothorax

Cited by 11 publications

References 0 publications

Large right-sided pneumothorax with Takotsubo cardiomyopathy

Large right-sided pneumothorax with Takotsubo cardiomyopathy

Could Recurrent Anxiety be a New Surgical Indication for Patients with Spontaneous Pneumothorax?

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

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