PMC5286476_01
ECG shows signs of absolute arrhythmia, HR of 140/min, and ST elevation from V2 to V6, D1 and D2.
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fig1
Persistence of symptoms and dynamic of the ECG findings (absolute arrhythmia, HR of 140/min, and ST elevation from V2 to V6, D1 and D2) suggested acute myocardial infarction, and patient continued treatment in the intensive coronary care unit (Figure 1).
Chest X-ray shows hydroaeric level in the right hemithorax, suggesting state after pneumonectomy.
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fig2
TEE findings, acute myocardial infarction was excluded and final diagnosis was epistenocardiac pericarditis. The treatment with antiplatelets (salicylic acid), Ca-channel antagonists (verapamil), and digoxin was successful and the patient had no symptoms; physical examination was normal, ECG showed the following: sinus rhythm (HR of 60/min) and negative T-wave from leads V2 to V6; chest X-ray corresponded with condition after right pneumonectomy (Figure 2).