Post cardiac injury syndrome successfully treated with medications: a report of two cases

BMC Cardiovascular Disorders

Ju-Yi Chen¹  Mu-Shiang Huang¹  Yan-Hua Su² 

[1] Division of Cardiology, Department of Internal Medicine, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, 138 Sheng-Li Road, 704, Tainan, Taiwan;Post Graduate Residency Program, Education Center, Department of Neurosurgery, National Cheng Kung University Hospital, Taipei Veteran General Hospital, Taipei City, Taiwan;

关键词: Pericarditis;    Injury syndrome;    Pacemaker;    Coronary intervention;   

DOI  :  10.1186/s12872-021-02200-5

来源: Springer

【 摘 要 】

BackgroundPost cardiac injury syndrome (PCIS) is induced by myocardial infarction or cardiac surgery, as well as minor insults to the heart such as percutaneous coronary intervention (PCI), or insertion of a pacing lead. PCIS is characterized by pericarditis after injury to the heart. The relatively low incidence makes differential diagnosis of PCIS after PCI or implantation of a pacemaker a challenge. This report describes two typical cases of PCIS.Case presentationThe first patient presented with signs of progressive cardiac tamponade that occurred two weeks after implantation of a permanent pacemaker. Echocardiography confirmed the presence of a moderate amount of newly-formed pericardial effusion. The second patient underwent PCI for the right coronary artery. However, despite an uneventful procedure, the patient experienced dyspnea, tightness of chest and cold sweats, and bradycardia two hours after the procedure. Echocardiography findings, which showed a moderate amount of newly-formed pericardial effusion, suggested acute cardiac tamponade, and compromised hemodynamics. Both patients recovered with medication.ConclusionThese cases 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.

【 授权许可】

CC BY