Key result
Post-cardiac injury syndrome can occur as a rare complication two months after permanent dual-chamber pacemaker implantation, which was successfully managed with pericardial drainage and colchicine.
Why the study?
The relatively low incidence of post-cardiac injury syndrome following pacemaker implantation makes the diagnosis easily overlooked or underestimated.
Case Report (n=1)
Post-cardiac injury syndrome can occur after minor myocardial injury such as pacemaker implantation and should be considered in patients presenting with pericardial effusion and symptoms of pericarditis.
Answers are grounded in this paper and cite their sources.
Post-cardiac injury syndrome warrants consideration after pacemaker implantation; this case report leaves open questions on optimal management.
BACKGROUND: Post cardiac injury syndrome (PCIS) is characterized by the development of pericarditis with or without pericardial effusion due to a recent cardiac injury. The relatively low incidence makes diagnosis of PCIS after implantation of a pacemaker easily be overlooked or underestimated. This report describes one typical case of PCIS. CASE PRESENTATION: We present a case report of a 94-year-old male with a history of sick sinus syndrome managed with a dual-chamber pacemaker who presented with PCIS after two months of pacemaker implantation. He gradually developed chest discomfort, weakness, tachycardia and paroxysmal nocturnal dyspnea and cardiac tamponade after two months of pacemaker. Post-cardiac injury syndrome related to dual-chamber pacemaker implantation was considered based on exclusion of other possible causes of pericarditis. His therapy was drainage of pericardial fluid and managed with a combination of colchicine and support therapy. He was placed on long-term colchicine therapy to prevent any recurrences. CONCLUSION: This case illustrated that PCIS can occur after minor myocardial injury, and that the possibility of PCIS should be considered if there is a history of possible cardiac insult.
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Zhang et al. (2023) conducted a case report in Post-cardiac injury syndrome (PCIS) (n=1). Permanent dual-chamber pacemaker implantation was evaluated on Development of post-cardiac injury syndrome. Post-cardiac injury syndrome can occur as a rare complication two months after permanent dual-chamber pacemaker implantation, which was successfully managed with pericardial drainage and colchicine.
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