Recurrent cardiac tamponade as a complication of prolonged left bundle branch area pacing

Post-cardiac injury syndrome (PCIS) is one of the complications of cardiac interventional procedures. This condition has been postulated to be due to an immune reaction, especially with pacemaker lead implantation. Patients with PCIS can have uncomplicated pericardial effusion until they develop car...

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Main Authors: Nurshafira Kamarulzaman, Wan Nur Amirah Wan Abdullah, Mohd Khairi Othman, W Yus Haniff W Isa, Zurkurnai Yusof, Ahmad Aizuddin Mohamad Jamali, Zulkeflee Muhammad
Format: Article
Language:English
Published: SMC MEDIA SRL 2025-01-01
Series:European Journal of Case Reports in Internal Medicine
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Online Access:https://www.ejcrim.com/index.php/EJCRIM/article/view/5144
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author Nurshafira Kamarulzaman
Wan Nur Amirah Wan Abdullah
Mohd Khairi Othman
W Yus Haniff W Isa
Zurkurnai Yusof
Ahmad Aizuddin Mohamad Jamali
Zulkeflee Muhammad
author_facet Nurshafira Kamarulzaman
Wan Nur Amirah Wan Abdullah
Mohd Khairi Othman
W Yus Haniff W Isa
Zurkurnai Yusof
Ahmad Aizuddin Mohamad Jamali
Zulkeflee Muhammad
author_sort Nurshafira Kamarulzaman
collection DOAJ
description Post-cardiac injury syndrome (PCIS) is one of the complications of cardiac interventional procedures. This condition has been postulated to be due to an immune reaction, especially with pacemaker lead implantation. Patients with PCIS can have uncomplicated pericardial effusion until they develop cardiac tamponade. The management of PCIS, which can be conservative management or require pericardiocentesis or surgery depends on the patient’s clinical symptoms. As the left bundle branch area pacing (LBBAP) implantation technique and technology are still new, it is associated with longer procedural time than conventional pacemaker implantation. Herein, we report a case of PCIS in a patient who had a prolonged LBBAP procedure due to difficult anatomy and presented with recurrent cardiac tamponade.
format Article
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institution Kabale University
issn 2284-2594
language English
publishDate 2025-01-01
publisher SMC MEDIA SRL
record_format Article
series European Journal of Case Reports in Internal Medicine
spelling doaj-art-5eb652611c24486cbfa91b63083bdf0e2025-02-04T13:37:20ZengSMC MEDIA SRLEuropean Journal of Case Reports in Internal Medicine2284-25942025-01-0110.12890/2025_0051444679Recurrent cardiac tamponade as a complication of prolonged left bundle branch area pacingNurshafira Kamarulzaman0Wan Nur Amirah Wan Abdullah1Mohd Khairi Othman2W Yus Haniff W Isa3Zurkurnai Yusof4Ahmad Aizuddin Mohamad Jamali5Zulkeflee Muhammad6Cardiology Unit, Internal Medicine Department, Hospital Universiti Sains Malaysia, Kelantan, Malaysia; School of Medical Sciences, Universiti Sains Malaysia, Health Campus, Kelantan, MalaysiaCardiology Unit, Internal Medicine Department, Hospital Universiti Sains Malaysia, Kelantan, Malaysia; School of Medical Sciences, Universiti Sains Malaysia, Health Campus, Kelantan, MalaysiaCardiology Unit, Internal Medicine Department, Hospital Universiti Sains Malaysia, Kelantan, Malaysia; School of Medical Sciences, Universiti Sains Malaysia, Health Campus, Kelantan, MalaysiaCardiology Unit, Internal Medicine Department, Hospital Universiti Sains Malaysia, Kelantan, Malaysia; School of Medical Sciences, Universiti Sains Malaysia, Health Campus, Kelantan, MalaysiaCardiology Unit, Internal Medicine Department, Hospital Universiti Sains Malaysia, Kelantan, Malaysia; School of Medical Sciences, Universiti Sains Malaysia, Health Campus, Kelantan, MalaysiaSchool of Medical Sciences, Universiti Sains Malaysia, Health Campus, Kelantan, Malaysia; Radiology Department, Hospital Universiti Sains Malaysia, Health Campus, Kelantan, MalaysiaCardiology Unit, Cardiac Vascular Sentral Kuala Lumpur, Kuala Lumpur, MalaysiaPost-cardiac injury syndrome (PCIS) is one of the complications of cardiac interventional procedures. This condition has been postulated to be due to an immune reaction, especially with pacemaker lead implantation. Patients with PCIS can have uncomplicated pericardial effusion until they develop cardiac tamponade. The management of PCIS, which can be conservative management or require pericardiocentesis or surgery depends on the patient’s clinical symptoms. As the left bundle branch area pacing (LBBAP) implantation technique and technology are still new, it is associated with longer procedural time than conventional pacemaker implantation. Herein, we report a case of PCIS in a patient who had a prolonged LBBAP procedure due to difficult anatomy and presented with recurrent cardiac tamponade.https://www.ejcrim.com/index.php/EJCRIM/article/view/5144radiation pericarditiscardiac implantable electronic devicecardiac tamponadecorticosteroid therapyleft bundle branch area pacing
spellingShingle Nurshafira Kamarulzaman
Wan Nur Amirah Wan Abdullah
Mohd Khairi Othman
W Yus Haniff W Isa
Zurkurnai Yusof
Ahmad Aizuddin Mohamad Jamali
Zulkeflee Muhammad
Recurrent cardiac tamponade as a complication of prolonged left bundle branch area pacing
European Journal of Case Reports in Internal Medicine
radiation pericarditis
cardiac implantable electronic device
cardiac tamponade
corticosteroid therapy
left bundle branch area pacing
title Recurrent cardiac tamponade as a complication of prolonged left bundle branch area pacing
title_full Recurrent cardiac tamponade as a complication of prolonged left bundle branch area pacing
title_fullStr Recurrent cardiac tamponade as a complication of prolonged left bundle branch area pacing
title_full_unstemmed Recurrent cardiac tamponade as a complication of prolonged left bundle branch area pacing
title_short Recurrent cardiac tamponade as a complication of prolonged left bundle branch area pacing
title_sort recurrent cardiac tamponade as a complication of prolonged left bundle branch area pacing
topic radiation pericarditis
cardiac implantable electronic device
cardiac tamponade
corticosteroid therapy
left bundle branch area pacing
url https://www.ejcrim.com/index.php/EJCRIM/article/view/5144
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AT mohdkhairiothman recurrentcardiactamponadeasacomplicationofprolongedleftbundlebranchareapacing
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