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New ECG Changes Associated With a Tension Pneumothorax*: A Case Report

Brian Strizik, MD; Robert Forman, MD
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*From the Division of Cardiology, Department of Medicine, Albert Einstein College of Medicine, Jack D. Weiler Hospital, Bronx, NY.



Chest. 1999;115(6):1742-1744. doi:10.1378/chest.115.6.1742
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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.

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