[A rare ECG manifestation of left sided pneumothorax: inferior STEMI with precordial Brugada pattern]
Attila Frigy1, Ildikó Kocsis1, Lajos Fehérvári1
1IV. Belgyógyászati Tanszék (Internal Medicine IV), Marosvásárhelyi Orvosi és Gyógyszerészeti Egyetem (UMF Tg. Mureș) Marosvásárhely, Gh. Marinescu str. 1, 540400 Târgu Mureş, Romania.
Abstract:
Recognition and identification of the cause of non-coronary ST elevation is important in daily practice, mainly for avoiding unnecessary diagnostic and therapeutic procedures. In this case, a rare cause, spontaneous, left sided tension pneumothorax was in the background of the suddenly appearing, complex ECG changes - ST elevation mimicking inferior wall myocardial infarction associated with type 1 Brugada pattern ("coved" ST-segment elevation ≥ 2 mm) in the precordial leads. The clinical picture and course, the differential diagnostic problems related to the case and the possible causes of the ECG changes will be presented. Orv. Hetil., 2016, 157(50), 2007-2010.
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