What question did this study set out to answer?

To describe a rare case of post-cardiac injury syndrome presenting with life-threatening cardiac tamponade and cardiogenic shock following percutaneous coronary intervention in an end-stage renal disease patient on hemodialysis.

January 1, 2025Cardiovascular Imaging AsiaOpen Access

Post-Cardiac Injury Syndrome in End Stage Renal Disease Hemodialysis Patient After Percutaneous Coronary Intervention for Non-ST Elevated Myocardial Infarction

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Why the study?

Post-cardiac injury syndrome is an uncommon complication after PCI with incompletely defined etiology and variable presentations, which can resemble uremic pericarditis in ESRD patients on hemodialysis.

Population

A 62-year-old male with ESRD on HD after PCI for NSTEMI

Design

Case report

Authors

TKTae Ik KimHallym University KKKyu‐Yong KoYonsei University JHJi‐won HwangGirls Incorporated

Discussion

Member takes

Implication

May prompt consideration of post-cardiac injury syndrome in dialysis patients with effusion post-PCI; hypothesis-generating and requires prospective validation.

Key Points

To describe a rare case of post-cardiac injury syndrome presenting with life-threatening cardiac tamponade and cardiogenic shock following percutaneous coronary intervention in an end-stage renal disease patient on hemodialysis.
Clinical evaluation and management of a 62-year-old male with end-stage renal disease on hemodialysis who developed acute hemodynamic collapse one week after percutaneous coronary intervention for non-ST elevation myocardial infarction (N=1).
Diagnostic assessment using urgent transthoracic echocardiography to identify severe pericardial effusion, followed by emergent pericardiocentesis and anti-inflammatory therapy with non-steroidal anti-inflammatory drugs and colchicine.
Emergency pericardiocentesis successfully reversed cardiac tamponade and cardiogenic shock occurring one week post-angioplasty.
Subsequent anti-inflammatory treatment using non-steroidal anti-inflammatory drugs and colchicine led to complete symptomatic resolution and prevented effusion recurrence.

Structured PICO

Population

1 adult male (n=1), 62 years old, with end-stage renal disease (ESRD) on hemodialysis (HD) who underwent percutaneous coronary intervention (PCI) for non-ST elevation myocardial infarction (NSTEMI).

Intervention

Emergency pericardiocentesis followed by long-term medical treatment with non-steroidal anti-inflammatory drugs and colchicine

Outcome

Clinical improvement and resolution of cardiogenic shock

This case highlights the importance of considering post-cardiac injury syndrome in dialysis patients presenting with pericardial effusion or tamponade after PCI, as it can mimic uremic pericarditis.

Cite This Study

Kim et al. (2025) studied this question.

synapsesocial.com/papers/6a87fd0a054eefc4d776ea7a https://doi.org/10.22468/cvia.2024.00136

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Implication

May prompt consideration of post-cardiac injury syndrome in dialysis patients with effusion post-PCI; hypothesis-generating and requires prospective validation.

Post-Cardiac Injury Syndrome in End Stage Renal Disease Hemodialysis Patient After Percutaneous Coronary Intervention for Non-ST Elevated Myocardial Infarction

Discussion

Member takes

Implication

Key Points

Structured PICO

Cite This Study

Post-Cardiac Injury Syndrome in End Stage Renal Disease Hemodialysis Patient After Percutaneous Coronary Intervention for Non-ST Elevated Myocardial Infarction

Discussion

Member takes

Implication

Key Points

Structured PICO

Cite This Study

Also Consider

Also Consider