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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Bibliographic Details
Published in:Diagnostics (Basel) 2021-06, Vol.11 (6), p.1069
Main Authors: Florescu, Lavinia Maria, Țentea, Călina-Patricia, Eötvös, Csilla-Andrea, Lazar, Roxana-Daiana, Zehan, Iulia-Georgiana, Sabha, Wissam, Pop, Sorin, Todea, Doina Adina, Blendea, Dan
Format: Article
Language:English
Subjects:
Cardiovascular disease
Case Report
Case reports
Chest tubes
Coronary vessels
Dyspnea
electrocardiogram
Electrocardiography
Heart
Hypotheses
Oxygen saturation
Pain
Patients
Pneumothorax
Respiration
syncope
Thoracic surgery
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Summary: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.
ISSN:2075-4418
2075-4418
DOI:10.3390/diagnostics11061069