Transient ST-segment elevation resembling acute myocardial infarction in a patient with a right secondary spontaneous pneumothorax.
A rare cause of ST-segment elevation mimicking myocardial infarction has been reported in the setting of acute pneumothorax. We present a middle-aged woman with a right-sided secondary pneumothorax who developed severe chest pain associated with ST-segment elevation suggestive of acute myocardial infarction. Symptoms resolved immediately after advancement of the dislodged chest drain. A subsequent coronary angiogram was normal. This case highlights an uncommon electrocardiographic alteration and discusses possible pathophysiological mechanisms.
Department of Cardiology, Royal Hobart Hospital, Tasmania, Australia. Electronic address: Rdanderson0@gmail.com.
Robert
R
Anderson
Department of Cardiology, Royal Hobart Hospital, Tasmania, Australia.
Ben
B
Costello
Department of Cardiology, Royal Hobart Hospital, Tasmania, Australia.
David
D
Kilpatrick
D002637:Chest Pain / Q000175:diagnosis / Q000209:etiology*; D015505:Chest Tubes; D004322:Drainage; D004562:Electrocardiography; D005260:Female; D006801:Humans; D008875:Middle Aged; D009203:Myocardial Infarction / Q000175:diagnosis; D011030:Pneumothorax / Q000150:complications / Q000628:therapy*