Key result
Transvenous pacemaker upgradation can trigger post-cardiac injury syndrome, which in this 83-year-old patient presented with effusions and responded well to anti-inflammatory medication.
Why the study?
Post-cardiac injury syndrome usually occurs following cardiac surgery, myocardial infarction, or cardiac trauma, but can also develop after interventional procedures like transvenous pacemaker implantation.
Case Report (n=1)
Post-cardiac injury syndrome can occur after transvenous pacemaker implantation and can be successfully managed with anti-inflammatory medication and pleural tapping.
Answers are grounded in this paper and cite their sources.
Clinicians should consider post-cardiac injury syndrome after pacemaker implantation; single case leaves open incidence and management questions.
Post-cardiac injury syndrome is an immune-mediated inflammatory process involving the pericardium and, to a lesser extent, the pleura, epicardium, and myocardium. It usually happens following cardiac surgery, myocardial infarction, or cardiac trauma, but can also develop after interventional procedures like transvenous pacemaker implantation. We present the case of an 83-year-old patient who underwent pacemaker upgradation(from VDD to DDR) with fixation of a new atrial screwing lead following the end of the life of the pulse generator. He presented to the emergency department within one week of the procedure with fever, chest pain, worsening respiratory difficulty, new onset pericardial and bilateral pleural effusion, and raised blood inflammatory markers. The patient responded well to anti-inflammatory medication and therapeutic pleural tapping and was subsequently discharged.
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A. V. S. Sarma (2023) conducted a case report in Post-cardiac injury syndrome (n=1). Transvenous pacemaker upgradation was evaluated on Development of post-cardiac injury syndrome. Transvenous pacemaker upgradation can trigger post-cardiac injury syndrome, which in this 83-year-old patient presented with effusions and responded well to anti-inflammatory medication.
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