Acute pericarditis after percutaneous coronary intervention mimicking inferolateral ST-elevation myocardial infarction
Yang, K.-P.; Yu, W.-C.; Lu, T.-M.
Journal of Invasive Cardiology 25(2): E27-E29
2013
ISSN/ISBN: 1557-2501 PMID: 23388234 Document Number: 664310
Acute pericarditis is a rare complication of percutaneous coronary intervention (PCI). Here, we describe a case of PCI complicated by guidewire perforation and contrast extravasation. Acute pericarditis developed 36 hours after PCI procedure with fever and severe chest pain. Electrocardiogram showed ST elevation in inferior-lateral leads. However, the follow-up coronary angiography showed negative result and the symptom improved dramatically with the treatment of nonsteroidal anti-inflammatory drug treatment. Therefore, it is important for the clinician to differentiate acute myocardial infarction/acute stent thrombosis from this rare complication after PCI.
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