Document Detail


Postcardiotomy syndrome following transvenous pacemaker insertion.
MedLine Citation:
PMID:  7925502     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We describe a case of postcardiotomy syndrome following permanent pacemaker insertion. A 79-year-old woman presented with complete heart block. Following temporary pacing, a dual chamber permanent pacemaker was inserted. Two weeks later she developed fevers and malaise with an acute rise in inflammatory markers. After systemic infection had been carefully excluded, she was commenced on prednisolone with immediate benefit. Prednisolone was withdrawn over 2 months without recurrence of symptoms. Although the postcardiotomy syndrome is rare following transvenous pacemaker insertion it should be considered in the differential diagnosis of fevers and malaise after implantation.
Authors:
M Hargreaves; Y Bashir
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  European heart journal     Volume:  15     ISSN:  0195-668X     ISO Abbreviation:  Eur. Heart J.     Publication Date:  1994 Jul 
Date Detail:
Created Date:  1994-11-04     Completed Date:  1994-11-04     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8006263     Medline TA:  Eur Heart J     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  1005-7     Citation Subset:  IM    
Affiliation:
Cardiac Department, John Radcliffe Hospital, Headington, Oxford.
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MeSH Terms
Descriptor/Qualifier:
Aged
Diagnosis, Differential
Female
Heart Block / therapy
Humans
Pacemaker, Artificial*
Postpericardiotomy Syndrome / diagnosis,  drug therapy,  etiology*
Prednisolone / therapeutic use
Chemical
Reg. No./Substance:
50-24-8/Prednisolone

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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