Emergency case report
Transient ST elevation associated with tension pneumothorax

https://doi.org/10.1016/S0361-1124(79)80442-6Get rights and content

In a 52-year-old man, a spontaneous right tension pneumothorax was associatedwith transient bradycardia, hypotension and electrocardiogram (ECG) changes consisting of precordial ST elevation suggestive of acute myocardial injury. Immediately after chest tube placement, the ECG reverted to near normal. Serial cardiac enzymes and isoenzymes showed no evidence of myocardial infarction. To our knowledge, this is the first reported case of this association. The ECG changes may be related to the hypotensive state induced by the tension pneumothorax with resulting decreased coronary artery blood flow and myocardial ischemia that resolved without infarction.

References (7)

There are more references available in the full text version of this article.

Cited by (0)

View full text