| Post-cardiac injury syndrome following transvenous pacemaker insertion: A case report and review of the literature. | |
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MedLine Citation:
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PMID: 19647485 Owner: NLM Status: In-Process |
Abstract/OtherAbstract:
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Post-cardiac injury syndrome is an inflammatory process involving the pleura and pericardium secondary to cardiac injury and can develop following transvenous pacemaker insertion. We now report a patient who developed this syndrome following dual-chamber pacemaker insertion with active fixation of the atrial and ventricular leads. The pericardial fluid was bloody and had a neutrophilic predominance. The pericardial biopsy revealed fibrinous pericarditis with a mixed inflammatory cell infiltrate. The pleural effusion was exudative and had a neutrophilic predominance. Nine similar cases were identified in the English literature dating back to 1975. These patients usually present within one month after pacemaker insertion. They have exudative pericardial and pleural effusions. The pericardial effusions can cause tamponade and may require treatment with either catheter drainage or a surgical window. Some of these patients respond well to anti-inflammatory medications, including prednisone. Therefore, early identification of these patients could allow medical treatment and might help avoid the need for a surgical procedure. Cardiologists should remember that this uncommon syndrome can occur after routine endovascular procedures. |
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Authors:
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Cihan Cevik; Troy Wilborn; Rita Corona; Elizabeth Schanzmeyer; Kenneth Nugent |
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Publication Detail:
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Type: Journal Article Date: 2009-07-31 |
Journal Detail:
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Title: Heart, lung & circulation Volume: 18 ISSN: 1444-2892 ISO Abbreviation: Heart Lung Circ Publication Date: 2009 Dec |
Date Detail:
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Created Date: 2009-11-20 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 100963739 Medline TA: Heart Lung Circ Country: Australia |
Other Details:
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Languages: eng Pagination: 379-83 Citation Subset: IM |
Affiliation:
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Department of Internal Medicine, Texas Tech University Health Sciences Center School of Medicine, Lubbock, 79430, United States. cihan.cevik@ttuhsc.edu |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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