DOI: 10.12890/2025_005144

Recurrent cardiac tamponade as a complication of prolonged left bundle branch area pacing

Authors

  • Nurshafira Kamarulzaman Cardiology Unit, Internal Medicine Department, Hospital Universiti Sains Malaysia, Kelantan, Malaysia; School of Medical Sciences, Universiti Sains Malaysia, Health Campus, Kelantan, Malaysia
  • Wan Nur Amirah Wan Abdullah Cardiology Unit, Internal Medicine Department, Hospital Universiti Sains Malaysia, Kelantan, Malaysia; School of Medical Sciences, Universiti Sains Malaysia, Health Campus, Kelantan, Malaysia
  • Mohd Khairi Othman Cardiology Unit, Internal Medicine Department, Hospital Universiti Sains Malaysia, Kelantan, Malaysia; School of Medical Sciences, Universiti Sains Malaysia, Health Campus, Kelantan, Malaysia
  • W Yus Haniff W Isa Cardiology Unit, Internal Medicine Department, Hospital Universiti Sains Malaysia, Kelantan, Malaysia; School of Medical Sciences, Universiti Sains Malaysia, Health Campus, Kelantan, Malaysia
  • Zurkurnai Yusof Cardiology Unit, Internal Medicine Department, Hospital Universiti Sains Malaysia, Kelantan, Malaysia; School of Medical Sciences, Universiti Sains Malaysia, Health Campus, Kelantan, Malaysia
  • Ahmad Aizuddin Mohamad Jamali School of Medical Sciences, Universiti Sains Malaysia, Health Campus, Kelantan, Malaysia; Radiology Department, Hospital Universiti Sains Malaysia, Health Campus, Kelantan, Malaysia
  • Zulkeflee Muhammad Cardiology Unit, Cardiac Vascular Sentral Kuala Lumpur, Kuala Lumpur, Malaysia

mohdkhairiothman87@gmail.com

Keywords

Radiation pericarditis, cardiac implantable electronic device, cardiac tamponade, corticosteroid therapy, left bundle branch area pacing

Abstract

Post-cardiac injury syndrome (PCIS) is one of the complications of cardiac interventional procedures. This condition has been postulated to be due to an immune reaction, especially with pacemaker lead implantation. Patients with PCIS can have uncomplicated pericardial effusion until they develop cardiac tamponade. The management of PCIS, which can be conservative management or require pericardiocentesis or surgery depends on the patient’s clinical symptoms. As the left bundle branch area pacing (LBBAP) implantation technique and technology are still new, it is associated with longer procedural time than conventional pacemaker implantation. Herein, we report a case of PCIS in a patient who had a prolonged LBBAP procedure due to difficult anatomy and presented with recurrent cardiac tamponade.

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References

  1. Imazio M, Hoit BD. Post cardiac injury syndromes: an emerging cause of pericardial diseases. Int J Cardiol 2013;168:648–52.
  2. Huang MS, Su YH, Chen JY. Post cardiac injury syndrome successfully treated with medications: a report of two cases. BMC Cardiovasc Disord 2021;21:394.
  3. Tsai WC, Liou CT, Cheng CC, Tsai KS, Cheng SM, Lin WS. Post-Cardiac Injury Syndrome after Permanent Pacemaker Implantation Case Report. Acta Cardiol Sin 2012;28:53 55.
  4. Sasse T, Eriksson U. Post cardiac injury syndrome: Aetiology, diagnosis and treatment. European Society of Cardiology. E-Journal-of-Cardiology-Practice 2017;15:21.
  5. Malik J, Zaidi SMJ, Rana AS, Haider A, Tahir S. Post-cardiac injury syndrome: An evidence-based approach to diagnosis and treatment. Am Heart J Plus 2021;12:100068.
  6. Sedaghat-Hamedani F, Zitron E, Kayvanpour E, Lorenz HM, Katus HA, Meder B. Post cardiac injury syndrome after initially uncomplicated CRT-D implantation: a case report and a systematic review. Clin Res Cardiol 2014;103:781-789.

Published

2025-01-29

Issue

Vol. 12 No. 2 (2025)

Categories

How to Cite

1.
Kamarulzaman N, Wan Abdullah WNA, Othman MK, W Isa WYH, Yusof Z, Mohamad Jamali AA, et al. Recurrent cardiac tamponade as a complication of prolonged left bundle branch area pacing. EJCRIM [Internet]. 2025 Jan. 29 [cited 2026 Nov. 3];12(2). Available from: https://ejcrim.com/index.php/ejcrim/article/view/5144