Resumen

MANTECON-DOMINGUEZ, María de la Almudena; SIERRA-SANTOS, Lucía  y  RAMOS-DIAZ, Celia. Chest pain is not always ischaemic: massive tension pneumothorax. Rev Clin Med Fam [online]. 2023, vol.16, n.1, pp.63-65.  Epub 17-Abr-2023. ISSN 2386-8201.  https://dx.doi.org/10.55783/rcmf.160112.

We report a 60-year-old female patient who suffered a compressive chest pain episode mainly in the left hemithorax. The electrocardiogram revealed ST-segment depression. Although the symptoms and electrocardiogram trace suggested an ischaemic cardiomyopathy as the initial diagnostic option, the actual cause was a left spontaneous massive tension pneumothorax. Although this is a rare manifestation, it is important for primary care physicians to know the main pathologies that can cause these kinds of changes on the electrocardiogram to correctly tackle emerging situations.

Palabras clave : Electrocardiography; Hypoxia; Myocardial Ischaemia; Pneumothorax.

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