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Pericarditis following permanent pacemaker insertion.

Yair Levy1, Ora Shovman, Chava Granit

  • 1Department of Medicine B, Sheba Medical Center, Tel Hashomer, Israel.

The Israel Medical Association Journal : IMAJ
|October 12, 2004
PubMed
Summary
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Pericarditis after pacemaker implantation is often linked to active fixation atrial leads. Healthcare providers should monitor for this complication, especially when anticoagulants are used.

Area of Science:

  • Cardiology
  • Electrophysiology
  • Medical Devices

Background:

  • Pericarditis following permanent pacemaker insertion is an under-recognized complication.
  • Limited literature addresses the incidence and characteristics of this condition.

Purpose of the Study:

  • To investigate the occurrence of pericarditis post-pacemaker implantation.
  • To analyze the clinical presentation, treatment response, and associated factors, including lead type and placement.

Main Methods:

  • Retrospective review of 395 consecutive pacemaker implantations over two years.
  • Identification of pericarditis cases within one month post-implantation using ICD-9 codes.
  • Analysis of clinical data, lead characteristics (active vs. passive fixation, atrial vs. ventricular), and outcomes.

Related Experiment Videos

Main Results:

  • Eight cases (2%) of pericarditis were identified within one month of pacemaker implantation.
  • All cases involved active fixation (screw-in) leads placed in the atrial position.
  • The incidence of pericarditis was significantly higher with screw-in atrial leads (3%) compared to other lead types (0%, P < 0.05).

Conclusions:

  • Pericarditis is a notable complication associated with active fixation atrial leads in pacemaker recipients.
  • Vigilance for pericardial complications is crucial, particularly when initiating or resuming anticoagulant therapy.
  • Passive fixation leads may reduce pericarditis incidence, warranting further investigation.