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Acute “Pseudoischemic” ECG Abnormalities after Right Pneumonectomy
Joint Authors
Vasic, Nada
Dimic-Janjic, Sanja
Stevic, Ruza
Milenkovic, Branislava
Djukanovic, Verica
Source
Issue
Vol. 2017, Issue 2017 (31 Dec. 2017), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2017-01-18
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
New onset of electrocardiographic (ECG) abnormalities can occur after lung surgery due to the changes in the position of structures and organs in the chest cavity.
The most common heart rhythm disorder is atrial fibrillation.
So-called “pseudoischemic” ECG changes that mimic classic ECG signs of acute myocardial ischemia are also often noticed.
We report the case of a 68-year-old male, with no prior cardiovascular disease, who underwent extensive surgical resection for lung cancer.
On a second postoperative day, clinical and electrocardiographic signs of acute myocardial ischemia occurred.
According to clinical course, diagnostic procedures, and therapeutic response, we excluded acute coronary syndrome.
We concluded that physical lesion of the pericardium, caused by extended pneumonectomy with resection of the pericardium, provoked the symptoms and ECG signs that mimic acute coronary syndrome.
Our final diagnosis was postpericardiotomy syndrome after extended pneumonectomy and further treatment with nonsteroidal anti-inflammatory drugs (NSAIDs) was recommended.
It is necessary to consider possibility that nature of ECG changes after extended pneumonectomy could be “pseudoischemic.”
American Psychological Association (APA)
Vasic, Nada& Dimic-Janjic, Sanja& Stevic, Ruza& Milenkovic, Branislava& Djukanovic, Verica. 2017. Acute “Pseudoischemic” ECG Abnormalities after Right Pneumonectomy. Case Reports in Surgery،Vol. 2017, no. 2017, pp.1-4.
https://search.emarefa.net/detail/BIM-1150288
Modern Language Association (MLA)
Vasic, Nada…[et al.]. Acute “Pseudoischemic” ECG Abnormalities after Right Pneumonectomy. Case Reports in Surgery No. 2017 (2017), pp.1-4.
https://search.emarefa.net/detail/BIM-1150288
American Medical Association (AMA)
Vasic, Nada& Dimic-Janjic, Sanja& Stevic, Ruza& Milenkovic, Branislava& Djukanovic, Verica. Acute “Pseudoischemic” ECG Abnormalities after Right Pneumonectomy. Case Reports in Surgery. 2017. Vol. 2017, no. 2017, pp.1-4.
https://search.emarefa.net/detail/BIM-1150288
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1150288