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Acute pericarditis after percutaneous coronary intervention mimicking inferolateral ST-elevation myocardial

Kun-Pin Yang1, Wen-Chung Yu, Tse-Min Lu

  • 1Division of Cardiology, Department of Internal Medicine, Taipei Veterans General Hospital, and School of Medicine, National Yang-Ming University, 201, Sec. 2, Shih-Pai Road, Taipei, Taiwan, ROC.

The Journal of Invasive Cardiology
|February 8, 2013
PubMed

Insights

Acute pericarditis is a rare complication following percutaneous coronary intervention (PCI). Prompt diagnosis and treatment with NSAIDs are crucial for differentiating it from acute myocardial infarction.

Area of Science:

  • Cardiology
  • Interventional Cardiology

Background:

  • Percutaneous coronary intervention (PCI) is a common procedure for coronary artery disease.
  • Acute pericarditis is a rare but serious complication post-PCI.

Observation:

  • A case of PCI complicated by guidewire perforation and contrast extravasation.
  • Patient presented with fever and severe chest pain 36 hours post-PCI.
  • ECG showed ST elevation in inferior-lateral leads.

Findings:

  • Follow-up coronary angiography was negative.
  • Symptoms resolved dramatically with nonsteroidal anti-inflammatory drug (NSAID) treatment.
  • Diagnosis of acute pericarditis was confirmed.

Implications:

  • Clinicians must differentiate acute pericarditis from acute myocardial infarction or stent thrombosis after PCI.
  • Early recognition and appropriate management are vital for favorable outcomes.
  • This case highlights the importance of considering rare complications in post-PCI patients.

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