ECG with alternating electric axis in relation to left-sided tension pneumothorax: a case report and review of the literature

The incidence of spontaneous pneumothorax has been estimated to 7.4–18.0/100,000 for men and 1.2–6.0/100,000 for women. The most common symptoms are sudden chest pain and dyspnoea. Due to chest pain many patients have an electrocardiogram (ECG) done in the acute setting. We present a case of unusual...

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Bibliographic Details
Main Authors: Diana Chabané Schmidt, Charlotte Andersson, Hans Henrik Schultz
Format: Article
Language:English
Published: Taylor & Francis Group 2018-01-01
Series:European Clinical Respiratory Journal
Subjects:
Online Access:http://dx.doi.org/10.1080/20018525.2018.1495982
Description
Summary:The incidence of spontaneous pneumothorax has been estimated to 7.4–18.0/100,000 for men and 1.2–6.0/100,000 for women. The most common symptoms are sudden chest pain and dyspnoea. Due to chest pain many patients have an electrocardiogram (ECG) done in the acute setting. We present a case of unusual findings of electric alternans in the electrocardiogram (ECG) in a patient with a left-sided spontaneous pneumothorax. Reviewing the literature we found five former cases of pneumothoraxes with electric alternans in the ECG, all occurring in relation to left-sided pneumothorax.
ISSN:2001-8525