TRANSIENT ST ELEVATION ASSOCIATED WITH TENSION PNEUMOTHORAX

被引：22

作者：

SLAY, RD

SLAY, LE

LUEHRS, JG

机构：

[1] Emergency Services Section, Department of Medicine, Brooke Army Medical Center, Fort Sam Houston, TX

来源：

JACEP-JOURNAL OF THE AMERICAN COLLEGE OF EMERGENCY PHYSICIANS | 1979年 / 8卷 / 01期

关键词：

electrocardiography; pneumothorax;

D O I：

10.1016/S0361-1124(79)80442-6

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

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. © 1979 American College of Emergency Physicians.

引用

页码：16 / 18

页数：3

共 7 条

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[7]

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