Pleuritic chest pain postcatheter ablation procedure

A middle-aged man developed sudden-onset pleuritic chest pain, nausea and vomiting 16 days following an ablation procedure. He had no neurological symptoms and was afebrile. Due to his ECG appearances (figure 1A) and symptoms of chest pain, he was admitted for consideration of primary percutaneous coronary intervention. Following admission, he underwent chest radiography (CXR) (figure 1B) and transthoracic echocardiography (TTE) (figure 1C) but was not referred for coronary angiography. Figure 1 (A) ECG, (B) chest radiography, (C) transthoracic echocardiography on presentation to the hospital. Despite supportive measures, he deteriorated during the subsequent night with raised inflammatory markers and acute kidney injury with metabolic acidosis and hyperkalaemia and became …