Juniper Publishers Journal of Cardiology and Cardiovascular Therapy

JUNIPER PUBLISHERS - OPEN ACCESS JOURNAL OF CARDIOLOGY & CARDIOVASCULAR THERAPY Abstract This report describes a case of a patient with right-sided pneumothorax presenting with classic electrocardiographic findings such as low voltage, extreme axis deviation to the right and tall R-wave in V1 suggesting right-ventricle overload. Drainage and aspiration were performed stabilizing the patient. Keywords: Pneumothorax; Right-sided pneumothorax; Electrocardiography Introduction Electrocardiogram (ECG) findings such as right axis deviation, QSR abnormalities, T-wave inversions and ST-segment alterations [ 1 ] may lead to misdiagnosis of pneumothorax [ 2 ]. We describe a case of pneumothorax presenting with changes in ECG. Case Report A 74-year-old male was admitted to the emergency department with chest pain 72 hours after a fall. The patient had a past medical h...

JUNIPER PUBLISHERS - OPEN ACCESS JOURNAL OF CARDIOLOGY & CARDIOVASCULAR THERAPY   Introduction Pacemaker lead induced Venous thrombosis occurs in 30% to 50% of permanent trans-venous pacemaker implantation [ 1 ]. Out of these only 0.6-3.5% cases have serious thromboembolic complications [ 2 ]. In an autopsy series, almost half of the patients were found to have thrombi in pacemaker leads [ 3 ], however, intracardiac thrombosis due to pacemaker lead causing serious embolic complication is a rare entity. We report a case of a large pacemaker lead thrombus leads to massive pulmonary embolism after 10 years of implantation. Case Report A 77 year old man who had a dual chamber pacemaker implanted 10 years back for sick sinus syndrome. He had regular follow up visits including device check and all were found to be in order. He presented to our institution with 2 weeks history of shortness of breath and sudden onset of right sided pleuri...