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Post-Cardiac Injury Syndrome Following Permanent Pacemaker Implantation Presenting Exclusively As Massive Pleural
Nasiha Khalid1, Ikram Ahmed Rana1
1Tahir Heart Institute, Chenab Nagar, Pakistan.
JPMA. the Journal of the Pakistan Medical Association
|October 25, 2023
Summary
Post-Cardiac Injury Syndrome (PCIS), a form of late-onset pericarditis, can rarely occur after pacemaker implantation. This case highlights isolated pleural effusion as a unique presentation, emphasizing early diagnosis and treatment.
Area of Science:
- Cardiology
- Immunology
- Pulmonology
Background:
- Post-Cardiac Injury Syndrome (PCIS), similar to Dressler's syndrome, is a delayed pericarditis initiated by the immune system.
- PCIS commonly manifests with pleuro-pericardial symptoms and elevated inflammatory markers.
- Its occurrence post-pacemaker insertion is infrequent, with reported prevalence ranging from 1-2%.
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