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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SMC MEDIA SRL
2025-01-01
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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 |
id | doaj-art-5eb652611c24486cbfa91b63083bdf0e |
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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