• BMJ case reports · Jan 2015

    Case Reports

    ECG phasic voltage changes associated with spontaneous pneumothorax in a patient with vanishing lung syndrome.

    • Jeffrey Fei and Keith A Marill.
    • Department of Emergency Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.
    • BMJ Case Rep. 2015 Jan 1;2015.

    AbstractAlternating or phasic ECG voltage changes are most commonly associated with intrinsic myocardial electrophysiological perturbations or mechanical oscillation within a pericardial effusion. Rare descriptions of electrical alternation have been reported with pneumothorax. We present a case of a 53-year-old woman with vanishing lung syndrome who presented with spontaneous left pneumothorax and phasic ECG voltage changes that resolved after re-expansion of the lung.2015 BMJ Publishing Group Ltd.

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