A 50-year-old patient was admitted to the hospital for chest pain. Admission ECG revealed inferior STEMI, coronarography revealed early occlusion of the right coronary artery and late occlusion of the left anterior descending artery. PCI and implantation of drug-eluting stent were performed at both locations. Several episodes of non-sustained ventricular tachycardia occurred during the procedure along with a borderline blood oxygen saturation. The patient was consequently admitted to the ICU.

History of the patient includes smoking and alcohol abuse.


Patient´s health condition worsened 5 hours later – anxiety, hypoxemia, hypercapnia and sinus tachycardia appeared, blood pressure dropped approximately to 100/60 mmHg. During the past 2 hours, the patient drank about 1000 ml of fluid, diuresis was not meassured.

Auscultation revealed silent breathing sounds without breathing any phenomena ventrally and prolonged expiration laterally. No breathing sounds were audible above the dorsobasal parts bilaterally.


Non-invasive ventilation was established and lung ultrasonography with echocardiography were performed:

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