title: Acute pericarditis after percutaneous coronary intervention mimicking inferolateral ST-elevation myocardial infarction.
abstract: 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.
authors: Division of Cardiology, Department of Internal Medicine, Taipei Veterans General Hospital, and School of Medicine, National Yang-Ming University, 201, Sec. 2, Shih-Pai Road, Taipei, Taiwan, ROC.
authors: Kun-Pin
authors: KP
authors: Yang
authors: Wen-Chung
authors: WC
authors: Yu
authors: Tse-Min
authors: TM
authors: Lu
mesh_terms: D000208:Acute Disease; D000369:Aged, 80 and over; D017023:Coronary Angiography; D023921:Coronary Stenosis / Q000175:diagnosis / Q000601:surgery; D004452:Echocardiography; D004562:Electrocardiography; D005260:Female; D006801:Humans; D009203:Myocardial Infarction / Q000175:diagnosis*; D062645:Percutaneous Coronary Intervention / Q000009:adverse effects*; D010493:Pericarditis / Q000175:diagnosis / Q000209:etiology*; D011183:Postoperative Complications