Acute Pericarditis After Use of Electronic Cigarettes: A Case Report

Area of Science:

• Cardiology
• Toxicology

Background:

• Acute pericarditis is a common cardiac condition, particularly in younger individuals.
• Electronic cigarette (vaping) use has surged globally, raising concerns about potential health risks.
• No prior case reports have documented acute pericarditis specifically induced by vaping.

Observation:

• A 27-year-old male presented with acute chest pain following electronic cigarette use.
• Electrocardiogram (ECG) revealed diffuse ST-segment elevation and a downsloping TP segment, characteristic of pericarditis.
• Elevated serum troponin T levels were noted despite initial response to standard medical therapy.

Findings:

• The case suggests a possible association between vaping and the development of acute pericarditis.
• The patient's clinical presentation and diagnostic findings align with acute pericarditis.
• Management involved non-steroidal anti-inflammatory drugs (NSAIDs) and colchicine, with monitoring of cardiac biomarkers.

Implications:

• This report highlights the need for clinicians to consider vaping as a potential trigger for acute pericarditis in patients with compatible symptoms.
• Further research is warranted to elucidate the mechanisms underlying vaping-induced cardiac inflammation.
• Awareness of this potential adverse effect of e-cigarettes is crucial for public health and patient care.