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(Chest. 1999;115:1742-1744.)
© 1999 American College of Chest Physicians

New ECG Changes Associated With a Tension Pneumothorax*

A Case Report

Brian Strizik , MD and Robert Forman , MD

* From the Division of Cardiology, Department of Medicine, Albert Einstein College of Medicine, Jack D. Weiler Hospital, Bronx, NY.

This case report reveals new ECG changes associated with a left tension pneumothorax, specifically, PR-segment elevation in the inferior leads and reciprocal PR-segment depression in the aVR lead. A mechanism of atrial injury and/or ischemia is proposed as the cause, and the ECG changes associated with a left tension pneumothorax are briefly reviewed.

Key Words: atrial injury • atrial ischemia • ECG • PR segment • tension pneumothorax




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