Pacemaker-Associated Post-cardiac Injury Syndrome Presenting with Tamponade and Recurrent Pleural Effusion

Authors

Young Ju Lee, Rochester Regional HealthFollow
Mahmood Mubasher, Rochester Regional HealthFollow
Abir Zainal, Rochester Regional HealthFollow
Tausif Syed, Rochester Regional HealthFollow
Mouhand F.H. Mohamed, Hamad Medical Corporation
Matthew Ferrantino, Rochester Regional HealthFollow
Ryan Hoefen, Rochester Regional HealthFollow

Department

Medicine

Document Type

Article

Publication Title

Clinical Medicine Insights: Case Reports

Abstract

Post-cardiac injury syndrome (PCIS) is presumed to be an immune-mediated process. It affects the pericardium and, to a lesser extent, the epicardium, myocardium, and pleura. It has been rarely reported following pacemaker insertion with an estimated incidence of 1% to 2%. We present the case of a 62-year-old female who developed PCIS 8 weeks following pacemaker insertion. She presented with impending cardiac tamponade requiring pericardiocentesis; recurrent pleural effusions subsequently complicated her condition. The pleural effusion recurred despite trials of steroids, eventually requiring talc pleurodesis. This case highlights the need to consider PCIS as a possible etiology of recurrent pleural effusion following pacemaker insertion.

DOI

10.1177/1179547620965559

Volume

13

Publication Date

1-1-2020

Recommended Citation

Lee, Y., Mubasher, M., Zainal, A., Syed, T., Mohamed, M., Ferrantino, M., & Hoefen, R. (2020). Pacemaker-Associated Post-cardiac Injury Syndrome Presenting with Tamponade and Recurrent Pleural Effusion. Clinical Medicine Insights: Case Reports, 13 https://doi.org/10.1177/1179547620965559