Open AccessThe postcardiac injury syndrome following percutaneous transluminal coronary angioplasty
Author(s) -
Velander M.,
Grip L.,
Mogensen L.
Publication year - 1993
Publication title -
clinical cardiology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.263
H-Index - 72
eISSN - 1932-8737
pISSN - 0160-9289
DOI - 10.1002/clc.4960160411
Subject(s) - medicine , malaise , pericardium , cardiology , myocardial infarction , surgery , chest pain , percutaneous , differential diagnosis , pathology
A 57‐year‐old man, who had suffered an anterior Q‐wave myocardial infarction complicated with typical postcardiac injury syndrome (PCIS) 9 years earlier, underwent percutaneous transluminal coronary angioplasty (PTCA) without any immediate clinical, laboratory, or radiological signs of complications. After 4 days he recognized the recurrence of the earlier symptoms of PCIS. The diagnosis was supported by slight fever, elevated inflammatory parameters, and improvement when oral corticosteroids were given. The observations suggest that milder cardiac injury than previously considered, that is, without demonstrated structural damage to pericardium or myocardium, may precipitate PCIS in predisposed individuals. The case adds a differential diagnosis to chest pain and malaise following PTCA.