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Regional Pericarditis Status Post Cardiac Ablation: A Case Report

机译:心脏消融后区域性心包炎状态:一例报告

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Context:Regional pericarditis is elusive and difficult to diagnosis. Healthcare providers should be familiar with post-cardiac ablation complications as this procedure is now widespread and frequently performed. The management of regional pericarditis differs greatly from that of acute myocardial infarction.Case report:A 52 year-old male underwent atrial fibrillation ablation and developed severe mid-sternal chest pain the following day with electrocardiographic findings suggestive of acute myocardial infarction, and underwent coronary angiography, a left ventriculogram, and 2D transthoracic echocardiogram, all of which were unremarkable without evidence of obstructive coronary disease, wall motion abnormalities, or pericardial effusions. Ultimately, the patient was diagnosed with regional pericarditis. After diagnosis, the patient's presenting symptoms resolved with treatment including nonsteroidal anti-inflammatory agents and colchicine.Conclusion:This is the first reported case study of regional pericarditis status post cardiac ablation. Electrocardiographic findings were classic for an acute myocardial infarction; however, coronary angiography and left ventriculogram demonstrated no acute coronary occlusion or ventricular wall motion abnormalities. Healthcare professionals must remember that the electrocardiographic findings in pericarditis are not always classic and that pericarditis can occur status post cardiac ablation.
机译:背景:区域性心包炎难以捉摸,难以诊断。医疗保健提供者应该熟悉心脏消融后的并发症,因为该程序现已广泛并且经常执行。区域性心包炎的治疗与急性心肌梗塞的治疗方法大不相同。病例报告:一名52岁的男性接受房颤消融并在第二天发展为严重的胸骨中部胸痛,并有心电图提示急性心肌梗塞,并接受了冠状动脉造影血管造影,左心室造影和2D经胸超声心动图检查,在没有梗阻性冠状动脉疾病,壁运动异常或心包积液的证据中,所有这些均不明显。最终,该患者被诊断为局部心包炎。诊断后,患者出现的症状通过包括非甾体类抗炎药和秋水仙碱在内的治疗得以解决。结论:这是首次报道了心脏消融后局部心包炎状态的病例研究。心电图检查是急性心肌梗塞的经典发现。但是,冠状动脉造影和左心室造影未显示出急性冠状动脉闭塞或心室壁运动异常。医护人员必须记住,心包炎的心电图检查并不总是经典的,心包消融后可能会发生心包炎。

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