This case highlights the rare coexistence of multiple life-threatening conditions presenting with similar symptoms, emphasizing the importance of re-evaluation after initial treatment.
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May prompt re-evaluation for concurrent ACS after pneumothorax relief; case report leaves open systematic study.
A 71-year-old man presented to our hospital for dyspnea lasting for the past 3 days. Chest X-ray and computed tomography demonstrated right tension pneumothorax, and an electrocardiogram suggested acute inferior myocardial infarction. Despite the relief of tension pneumothorax, the electrocardiographic findings were not completely resolved. Emergency coronary angiography demonstrated an occlusive lesion in the right coronary artery, and percutaneous coronary intervention was performed successfully. Thereafter, the chest tube was removed, and he was discharged. While rare, multiple life-threatening diseases that present with similar symptoms can coexist, so a re-evaluation after performing the initial treatment for one of these diseases is crucial.
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Arao et al. (2019) studied this question.
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