A Shocking Complication of a Pneumothorax: Chest Tube-Induced Arrhythmias and Review of the Literature
We describe a patient with a recent chest tube insertion leading to atrial fibrillation with rapid ventricular rate that led to multiple inappropriate internal cardiac defibrillator (ICD) shocks. This is the first reported case of this occurring in a patient with an ICD leading to inappropriate shoc...
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| Format: | Article |
| Language: | English |
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Wiley
2014-01-01
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| Series: | Case Reports in Cardiology |
| Online Access: | http://dx.doi.org/10.1155/2014/681572 |
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| author | Shaun Cardozo Kevin Belgrave |
| author_facet | Shaun Cardozo Kevin Belgrave |
| author_sort | Shaun Cardozo |
| collection | DOAJ |
| description | We describe a patient with a recent chest tube insertion leading to atrial fibrillation with rapid ventricular rate that led to multiple inappropriate internal cardiac defibrillator (ICD) shocks. This is the first reported case of this occurring in a patient with an ICD leading to inappropriate shocks. Our elderly patient with emphysema presented with a spontaneous pneumothorax and developed rapid atrial fibrillation following emergency tube thoracostomy. The patient had a single lead ICD and received multiple inappropriate shocks for the rapid ventricular rate in the therapy zone. Although medical treatment helped stabilize the patient, resolution of the atrial fibrillation occurred only after the chest tube was removed. In a patient with a chest tube or other intrathoracic catheters, maintaining a high index of suspicion that chest tube insertions can cause secondary life threatening cardiovascular complications needs to be considered. In such patients, removal of the device proves to be the most prudent treatment action. |
| format | Article |
| id | doaj-art-3c36cfaeef0b4cbe82849c04f6144c34 |
| institution | Kabale University |
| issn | 2090-6404 2090-6412 |
| language | English |
| publishDate | 2014-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Cardiology |
| spelling | doaj-art-3c36cfaeef0b4cbe82849c04f6144c342025-02-03T01:00:45ZengWileyCase Reports in Cardiology2090-64042090-64122014-01-01201410.1155/2014/681572681572A Shocking Complication of a Pneumothorax: Chest Tube-Induced Arrhythmias and Review of the LiteratureShaun Cardozo0Kevin Belgrave1Department of Internal Medicine, Division of Cardiology, Detroit Medical Center, Wayne State University, Detroit, MI 48201, USADepartment of Internal Medicine, Division of Cardiology, Detroit Medical Center, Wayne State University, Detroit, MI 48201, USAWe describe a patient with a recent chest tube insertion leading to atrial fibrillation with rapid ventricular rate that led to multiple inappropriate internal cardiac defibrillator (ICD) shocks. This is the first reported case of this occurring in a patient with an ICD leading to inappropriate shocks. Our elderly patient with emphysema presented with a spontaneous pneumothorax and developed rapid atrial fibrillation following emergency tube thoracostomy. The patient had a single lead ICD and received multiple inappropriate shocks for the rapid ventricular rate in the therapy zone. Although medical treatment helped stabilize the patient, resolution of the atrial fibrillation occurred only after the chest tube was removed. In a patient with a chest tube or other intrathoracic catheters, maintaining a high index of suspicion that chest tube insertions can cause secondary life threatening cardiovascular complications needs to be considered. In such patients, removal of the device proves to be the most prudent treatment action.http://dx.doi.org/10.1155/2014/681572 |
| spellingShingle | Shaun Cardozo Kevin Belgrave A Shocking Complication of a Pneumothorax: Chest Tube-Induced Arrhythmias and Review of the Literature Case Reports in Cardiology |
| title | A Shocking Complication of a Pneumothorax: Chest Tube-Induced Arrhythmias and Review of the Literature |
| title_full | A Shocking Complication of a Pneumothorax: Chest Tube-Induced Arrhythmias and Review of the Literature |
| title_fullStr | A Shocking Complication of a Pneumothorax: Chest Tube-Induced Arrhythmias and Review of the Literature |
| title_full_unstemmed | A Shocking Complication of a Pneumothorax: Chest Tube-Induced Arrhythmias and Review of the Literature |
| title_short | A Shocking Complication of a Pneumothorax: Chest Tube-Induced Arrhythmias and Review of the Literature |
| title_sort | shocking complication of a pneumothorax chest tube induced arrhythmias and review of the literature |
| url | http://dx.doi.org/10.1155/2014/681572 |
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