Takimoto Takayuki, Kobayashi Takehiko, Minomo Shojiro
Department of Internal Medicine, National Hospital Organization Kinki-Chuo Chest Medical Center, Sakai, JPN.
Cureus. 2022 Oct 29;14(10):e30850. doi: 10.7759/cureus.30850. eCollection 2022 Oct.
Chest pain is one of the major causes of emergency room visits. Here, we present the case of a patient with chest pain who developed recurrent pneumothorax and Takotsubo cardiomyopathy (TC). An 80-year-old man, receiving supplemental oxygen for chronic obstructive pulmonary disease (COPD), presented to the emergency room with chest pain and dyspnea. On examination, his chest pain was initially assessed to be secondary to recurrent pneumothorax. However, on further evaluation, an electrocardiogram (ECG) showed ST-segment elevation along with elevated troponin levels. Ultimately, he was diagnosed with TC. ECG, if indicated by echocardiography, should be considered to detect concomitant heart disease when dealing with pneumothorax. TC should be recognized as a cardiac disease that can be caused by pneumothorax.
胸痛是急诊室就诊的主要原因之一。在此，我们报告一例胸痛患者，该患者出现复发性气胸和Takotsubo心肌病（TC）。一名80岁男性，因慢性阻塞性肺疾病（COPD）接受补充氧气治疗，因胸痛和呼吸困难就诊于急诊室。检查时，其胸痛最初被评估为继发于复发性气胸。然而，进一步评估时，心电图（ECG）显示ST段抬高以及肌钙蛋白水平升高。最终，他被诊断为TC。在处理气胸时，如果超声心动图提示，应考虑进行心电图检查以检测合并的心脏病。TC应被视为一种可由气胸引起的心脏病。
