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Table 1 Clinical characteristics of post-cardiac injury syndrome reported in the literature

From: Postcardiac injury syndrome caused by radiofrequency catheter ablation of persistent atrial fibrillation: severe pulmonary arterial hypertension with severe tricuspid regurgitation: a rare case report and literature review

Study

Study design

Gender/age

Operation

Clinical symptoms

Examination

Treatment

PMID

CIED implantation

 Filbey 2020 [2]

Cohort

M(70.5%), 68.4(±13.3)

CIED implantation (incidence of 0.38%)

Dyspnea, chest pain, dry cough, and low-grade fever

ESR, leukocytes and CRP increases.

Pericardiocentesis, steroids or NSAID + steroids

32170340

 Tadashi 2017 [5]

Case report

M,87

CRT implantation

low‐grade fever

Elevation of inflammatory marker

Colchicine

28588855

PCI

 Wang 2020 [3]

Case report

M,40

PCI

ARDS, vomiting, heavy sweating, and wet and cold limbs with irritability

ECG showed bow-back downward ST elevation in leads I, II, III, and V4-V6.

ESR and CRP increases.

Prednisone 20 mg/d

32620081

 Greener 2017 [6]

Case report

M,72

Chronic total occlusion-PCI

Severe pleuritic chest pain and a low-grade fever

ESR, leukocytes and CRP increased. Hemoglobin drop

High dose of aspirin and colchicine, clopidogrel.

28588855

Transcatheter valve replacement/repair

 Alachkar 2020 [4]

Case report

F,79

Transcatheter mitral valve repair

Fatigue, malaise, and non-specific epigastric pain

CRP increased and normal procalcitonin.

CMR showed thickened pericardium with late gadolinium enhancement of both pericardium and pleura

High dose Aspirin (3g/day) and Colchicine (0.5 mg/day)

32974454

 Llubani 2018 [7]

Case report

F,79

TAVI

Chest pain, dyspnea at rest, cough, and low-grade fever

Values of leucocytes and CRP were increased

Colchicine 0.5 mg, prednisone 20 mg, and ibuprofen 800 mg daily

31020183

Catheter ablation

 Davtyan 2022 [11]

Case report

F,66

ventricular arrhythmias

Dull oppressive non-radiating retrosternal chest pain

CMR showed local accumulation of pericardial fluid in front of the RVOT anterior wall, accompanied by adjacent oedema and pericardial contrast enhancement.

ESR, leukocytes and CRP normal.

Diclofenac sodium 75 mg/daily

35028502

 Wenzl 2021 [10]

Case report

F,62

Right septal ablation for AVNRT

Low-grade fever, chest pain on inspiration

Cardiac markers and leukocytosis increases.

ECG showed diffuse saddle-shaped ST segment elevations.

Aspirin and low-dose colchicine

34953495

 Li 2019 [8]

Case reports

M,82

Persistent AF

Poor appetite, fatigue and low-grade fever

ESR, CRP and NT-proBNP increases.

There were marked hyponatremias (111 mmol/L, nor- mal value 137–145 mmol/L) and hypoalbuminemia (25 g/ L, normal value 35–50 g/L). Serious hypoxemia with arterial blood gas values as follows: pH, 7.54; PaO2, 71.25 mmHg; PaCO2, 38.7 mmHg.

Left-side thoracentesis, prednisone (10 mg, bid) and human serum albumin (10 g per day)

30322760

M,78

Persistent AF

Cough, dyspnea and fever

CRP and NT-proBNP increases.

Prednisone (10 mg, bid)

Han 2016 [9]

Case report

F,68

AF

Developed cough and mild chest discomfort

ESR, percentage of eosinophilic granulocytes and CRP increases.

Corticosteroid for half a month

30546651

  1. Abbreviations: M Male, F Female, AVNRT Atrioventricular nodal reentrant tachycardia, AF Atrial fibrillation, ARDS Acute respiratory distress, TAVI Transcatheter aortic valve implantation, CIED Cardiac implantable electronic device, CRT Cardiac resynchronization therapy, CMR Cardiac magnetic resonance, PCI Percutaneous coronary intervention, CRP C-reactive protein, NT-proBNP N-Ter-minal Pro-B-Type Natriuretic Peptide, ESR Erythrocyte sedimentation rate