Pacemaker Induced Post Cardiac Injury Syndrome

Abstract

Post pacemaker insertion pericarditis is a rare form of post cardiac injury syndrome. It is an inflammatory process involving the pericardium and/or pleura due to a recent cardiac injury. Post cardiac injury syndrome may develop after myocardial infarction (Dressler syndrome), cardiac surgery or trauma. However, in rare cases it can occur following minor cardiac procedures. We report a case of a 74-year-old male with post-cardiac injury syndrome 4 weeks post permanent pacemaker implantation. A high index of suspicion in addition to ordering appropriate imaging studies and device interrogation are crucial to establish correct diagnosis and rule out lead perforation.