转移性下咽癌患者紧急气管切开术后出现医源性左侧气胸,心电图上短暂的外外侧st段抬高。

IF 0.9 Q4 CARDIAC & CARDIOVASCULAR SYSTEMS Turk Kardiyoloji Dernegi Arsivi-Archives of the Turkish Society of Cardiology Pub Date : 2023-01-01 Epub Date: 2022-08-17 DOI:10.5543/tkda.2022.28589
Kurtuluş Karaüzüm, Mustafa Doğuş Gökçek, Beyza Kalaş, İrem Karaüzüm, Ertan Ural
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引用次数: 1

摘要

心电图上st段抬高的存在提醒胸痛患者的医生。急诊冠状动脉造影通常在这些患者中进行。然而,有许多情况可导致心电图上st段抬高,如心包炎、高钾血症、Brugada综合征、体温过低和早期复极。气胸是气管切开术中一种罕见的并发症,其症状是突发性胸痛和呼吸困难。此外,已知气胸可引起心电图st段改变。我们报告了一名转移性下咽癌患者在急诊气管切开术后出现医源性左侧气胸,并在心电图上出现短暂的外侧st段抬高,冠状动脉造影正常。
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A Transient Inferolateral ST-Segment Elevation on the Electrocardiogram Due to an Iatrogenic Left-Sided Pneumothorax After an Urgent Tracheostomy in a Patient with Metastatic Hypopharynx Cancer.

The presence of ST-segment elevation on the electrocardiogram alerts physicians in patients with chest pain. Emergency coronary angiography is usually performed in these patients. However, there are many conditions that cause ST-segment elevation on the electrocardiogram, such as pericarditis, hyperkalemia, Brugada syndrome, hypothermia, and early repolarization. Pneumothorax is a rare complication of tracheostomy and its symptoms are sudden chest pain and dyspnea. Also, it has been known that pneumothorax may cause ST-segment changes on the electrocardiogram. We presented a transient inferolateral ST-segment elevation on the electrocardiogram due to an iatrogenic left-sided pneumothorax after an urgent tracheostomy in a patient with metastatic hypopharynx cancer and normal coronary angiogram.

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来源期刊
CiteScore
1.30
自引率
12.50%
发文量
124
审稿时长
32 weeks
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