Acute Chest Pain and Electrical Alternans.

JACC Case Rep

Hospital do Divino Espírito Santo de Ponta Delgada, Avenida D. Manuel I, Ponta Delgada, São Miguel, Portugal.

Published: November 2023

AI Article Synopsis

  • A young man experienced sudden and severe chest pain, prompting medical evaluation.
  • An electrocardiogram showed electrical alternans, indicating fluctuating heart activity, alongside absent breath sounds in the left lung area.
  • Chest X-ray diagnosed a left-sided tension pneumothorax, which is an unusual cause of electrical alternans in such cases.

Article Abstract

A young man presented with acute stabbing chest pain. A 12-lead electrocardiogram revealed electrical alternans with phasic variation of the QRS amplitude in all leads. Lung auscultation revealed absent left hemithorax breath sounds. Chest radiography confirmed a left-sided tension pneumothorax. Tension pneumothorax is a very rare cause for electrical alternans. ().

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10715949PMC
http://dx.doi.org/10.1016/j.jaccas.2023.102061DOI Listing

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