دورية أكاديمية
Acute 'Pseudoischemic' ECG Abnormalities after Right Pneumonectomy
| العنوان: | Acute 'Pseudoischemic' ECG Abnormalities after Right Pneumonectomy |
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| المؤلفون: | Nada Vasic, Sanja Dimic-Janjic, Ruza Stevic, Branislava Milenkovic, Verica Djukanovic |
| المصدر: | Case Reports in Surgery, Vol 2017 (2017) |
| بيانات النشر: | Wiley, 2017. |
| سنة النشر: | 2017 |
| المجموعة: | LCC:Surgery |
| مصطلحات موضوعية: | Surgery, RD1-811 |
| الوصف: | 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.” |
| نوع الوثيقة: | article |
| وصف الملف: | electronic resource |
| اللغة: | English |
| تدمد: | 2090-6900 2090-6919 |
| Relation: | https://doaj.org/toc/2090-6900; https://doaj.org/toc/2090-6919 |
| DOI: | 10.1155/2017/7872535 |
| URL الوصول: | https://doaj.org/article/6992e2a7bc414b778f447c409c332c6c |
| رقم الأكسشن: | edsdoj.6992e2a7bc414b778f447c409c332c6c |
| قاعدة البيانات: | Directory of Open Access Journals |
Full Text Finder | تدمد: | 20906900 20906919 |
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| DOI: | 10.1155/2017/7872535 |