Resumo

MANTECON-DOMINGUEZ, María de la Almudena; SIERRA-SANTOS, Lucía  e  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.

Palavras-chave : Electrocardiography; Hypoxia; Myocardial Ischaemia; Pneumothorax.

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