Case Report

ECG Changes with Elevated Troponin I in a Patient with Tension Pneumothorax

Authors: Wai-Hou Chan MD, Chin-Sheng Lin MD, Shih-Ping Yang MD, PhD, Shu-Meng Cheng MD, PhD

Abstract

Abstract:An 86-year-old man presented with sudden onset of dyspnea during hospitalization. Initial electrocardiography (ECG) showed poor R-wave progression of precordial leads with elevation of troponin I. Tension pneumothorax was subsequently diagnosed and the ECG returned to normal after resolution of clinical compromise.

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References

References1.Bucciarelli-Ducci C, Rasile C, Proietti P, et al. Troponin I as a specific marker of myocardial injury: from theory to clinical practice in the diagnosis of acute coronary syndrome. Coron Artery Dis 2004;15:499–504.Bucciarelli-DucciC]]RasileC]]ProiettiP&etal;Troponin I as a specific marker of myocardial injury: from theory to clinical practice in the diagnosis of acute coronary syndrome.Coron Artery Dis200415499-5042.Antman EM. Decision making with cardiac troponin tests. N Engl J Med 2002;346:2079–2082.AntmanEMDecision making with cardiac troponin tests.N Engl J Med20023462079-20823.Walston A, Brewer DL, Kitchens CS, et al. The electrocardiographic manifestations of spontaneous left pneumothorax. Ann Intern Med 1974;80:375–379.WalstonA]]BrewerDL]]KitchensCS&etal;The electrocardiographic manifestations of spontaneous left pneumothorax.Ann Intern Med197480375-3794.Ortega-Carnicer J, Ruíz-Lorenzo F, Zarca MA, et al. Electrocardiographic changes in occult pneumothorax. Resuscitation 2002;52:306–307.Ortega-CarnicerJ]]Ruíz-LorenzoF]]ZarcaMA&etal;Electrocardiographic changes in occult pneumothorax.Resuscitation200252306-3075.Zema MJ, Luminais SK, Chiaramida S, et al. Electrocardiographic poor R wave progression III. The normal variant. J Electrocardiol 1980;13:135–142.ZemaMJ]]LuminaisSK]]ChiaramidaS&etal;Electrocardiographic poor R wave progression III. The normal variant.J Electrocardiol198013135-1426.Tsou SS, Pai PY. Images in cardiovascular medicine. A 21-year-old college student with chest distress and ECG mimicking dextrocardia. Circulation 2006;114:e560–e561.TsouSS]]PaiPYImages in cardiovascular medicine. A 21-year-old college student with chest distress and ECG mimicking dextrocardia.Circulation2006114e560-e561