A Rare Case of Acute Pleuropericarditis as a Complication of Permanent Pacemaker Insertion

BACKGROUND Pleuropericarditis after pacemaker (IPG) implantation is a rare post-cardiac injury syndrome (PCIS) condition. Pericarditis one of the complications following insertion IPG; it affects 2-5% patients within 5-21 days IPG implementation and associated with screw-in (active fixation) atrial lead positioning. Usually, pericarditis benign has self-limiting course. The mechanism this complication remains unclear. It could involve direct irritation pericardium by minimally protruding electrodes, low bleeding, autoimmune inflammatory responses. frequency pleuropericarditis not well defined. etiopathogenesis presumed to be same as for pericarditis, yet there are no standardized criteria diagnosis, treatment based on empirical anti-inflammatory therapy used in pericarditis. CASE REPORT A 71-year-old woman was admitted due syncope. Sinus arrests escape atrioventricular rhythm were observed during hospitalization; therefore, dual-chamber implanted 2 active fixation (screw-in) electrodes. On first day implantation, slight pericardial hemorrhage occurred resorption days, an reaction left pleural effusion later. first-line ineffective. However, prednisolone colchicines longer use than suggested recommendations effective. CONCLUSIONS Patients even mild should followed closely risk pleuropericarditis, consideration