Abstract

Post Cardiac Injury Syndrome (PCIS) encompasses a heterogenous group of immune mediated inflammatory disorders characterized by pericardial and pleural effusion along with raised serum markers of inflammation following recent cardiac injury. They may follow acute Myocardial Infarction (MI), pericardiotomy (open-heart surgery, such as coronary artery bypass surgery or valve surgery) and post-traumatic pericarditis due to accidental or iatrogenic injury such as pacemaker insertion, radiofrequency ablation and coronary angioplasty. Though typically benign they can lead to significant morbidity and even mortality if there is an inordinate delay in diagnosing the problem and initiating appropriate treatment. The following case report highlights an unusual case of PCIS following permanent pacemaker insertion that required active medical management for a successful outcome.