Article ID | Journal | Published Year | Pages | File Type |
---|---|---|---|---|
5650734 | The American Journal of Emergency Medicine | 2017 | 4 Pages |
Abstract
Pneumothorax can cause a variety of electrocardiographic changes. ST segment elevation, which is mainly observed in myocardial infarction, can also be induced by pneumothorax. The mechanism is presumed to be a decrease in cardiac output, due to increased intra-thoracic pressure. We encountered a patient with ST segment elevation with minimal pneumothorax. Coronary angiography with ergonovine provocation test and echocardiogram had normal findings. The ST segment elevation was normalized by decreasing the amount of pneumothorax. We reviewed the literature and present possible mechanisms for this condition.
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Authors
Seok-Ran MD, PhD, Sung-Wook MD, Young-Dae MD, PhD, Byung-Jae MD, Jin-Hee MD, Il-Jae MD,