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Electrocardiographic changes in young patients with spontaneous pneumothorax
- Source :
- Medicine
- Publication Year :
- 2021
- Publisher :
- Lippincott Williams & Wilkins, 2021.
-
Abstract
- Primary spontaneous pneumothorax (PSP) commonly occurs in adolescents. PSP symptoms can mimic cardiac event. We aimed to examine electrocardiography (ECG) changes that accompanied PSP in relation to side and size of pneumothorax. A retrospectively reviewed 57 adolescents presented with PSP and underwent a cardiac evaluation. Overall, 49 patients (86%) were male, median age of 16 years. Of these, 1 patient had a known mitral valve prolapse. In 56 patients the initial episode of PSP was unilateral (16 left sided and 40 right sided), and 1 was bilateral. The main initial symptom was chest pain or dyspnea and chest pain 66.6% and 33.3% respectively. Small pneumothorax was right and left sided in 1and 8 patients respectively, medium right (n = 8) medium left (n = 22), large right (n = 7) and large left (n = 10). One additional patient had medium bilateral pneumothorax. ECG findings were abnormal in 12 patients (21%) and included ST elevation in 5 patients, inverted T wave in 2 patients, incomplete right bundle branch block in 2 patients, poor R wave progression, left axis deviation and low QRS voltage in 1 patient each. Only 2 patients had abnormal echocardiography findings, MPV (n = 1) and minimal mitral and tricuspid regurgitation (n = 1). Serum troponin-T levels were normal in all patients. ECG changes were found in 21% among pediatric patients with PSP. No correlation was observed between ECG changes and side/size of pneumothorax. It is important to rule out pneumothorax among children presented with chest pain, dyspnea and ECG changes.
- Subjects :
- Male
medicine.medical_specialty
chest pain
Adolescent
electrocardiography
Observational Study
Chest pain
QRS complex
T wave
Internal medicine
medicine
Humans
Mitral valve prolapse
Retrospective Studies
medicine.diagnostic_test
business.industry
ST elevation
Pneumothorax
General Medicine
dyspnea
medicine.disease
primary spontaneous pneumothorax
pediatric
Echocardiography
Cardiology
Left axis deviation
Female
medicine.symptom
business
Electrocardiography
Research Article
Subjects
Details
- Language :
- English
- ISSN :
- 15365964 and 00257974
- Volume :
- 100
- Issue :
- 30
- Database :
- OpenAIRE
- Journal :
- Medicine
- Accession number :
- edsair.doi.dedup.....f274b21fd02cb08d5de3ba7ff4880851