A Shocking Complication of a Pneumothorax: Chest Tube-Induce
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Pneumothorax is a common complication of emphysematous lung disease ensuing from rupture of pulmonary blebs, resulting in chest pain and dyspnea. The respiratory exam of patients with a pneumothorax reveals hyper resonant percussion of the lungs with decreased or absent breath sounds on the side of the pneumothorax. Pneumothorax occurring in patients with COPD has an increased morbidity and mortality because of decreased secondary reserve. Therefore, emergent chest tube placement is the treatment of choice. Although complication rates for tube thoracostomy can be high, cardiovascular complications are rare There have been a few reported cases with cardiovascular complications, including conduction blocks. We describe a patient with a pneumothorax treated with chest tube placement, followed by rapid atrial fibrillation refractory to medical treatment that only resolved after chest tube withdrawal...

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4131458/
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