Left-sided tension pneumothorax should be considered in the differential diagnosis of non-coronary ST elevation mimicking inferior STEMI and Brugada pattern to avoid unnecessary diagnostic and therapeutic procedures.
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May prompt pneumothorax consideration in atypical STEMI mimics; case report leaves open need for prospective validation.
Recognition and identification of the cause of non-coronary ST elevation is important in daily practice, mainly for avoiding unnecessary diagnostic and therapeutic procedures. In this case, a rare cause, spontaneous, left sided tension pneumothorax was in the background of the suddenly appearing, complex ECG changes - ST elevation mimicking inferior wall myocardial infarction associated with type 1 Brugada pattern ("coved" ST-segment elevation ≥ 2 mm) in the precordial leads. The clinical picture and course, the differential diagnostic problems related to the case and the possible causes of the ECG changes will be presented. Orv. Hetil., 2016, 157(50), 2007-2010.
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Frigy et al. (2016) studied this question.
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