Postcardiac injury syndrome following radiofrequency ablation of idiopathic left ventricular tachycardia


A 73-year-old man, who was admitted to our hospital with idiopathic ventricular tachycardia, underwent radiofrequency catheter ablation(RFCA) without any immediate signs of complications. He complained of sudden onset of chest pain shortly after the RFCA procedure. The diagnosis of PCIS was supported by slight fever, pericardial effusion, bilateral pleural effusion and elevated inflammatory markers. One should be aware of PCIS since there will be increasing performance of RFCA procedures and patients may present with this previously rare postoperative complications.

This is a preview of subscription content, log in to check access.


  1. 1.

    Khan, A. H. (1992). The postcardiac injury syndromes. Clinical Cardiology, 15, 67–72.

    PubMed  CAS  Google Scholar 

  2. 2.

    Kim, S., & Sahn, S. A. (1996). Postcardiac injury syndrome. An immunologic pleural fluid analysis. Chest, 109, 570–572.

    PubMed  CAS  Google Scholar 

  3. 3.

    Lichstein, E., Arsura, E., Hollander, G., Greengart, A., & Sanders, M. (1982). Current incidence of post-myocardial infarction (Dressler’s) syndrome. American Journal of Cardiology, 50, 269.

    Article  Google Scholar 

  4. 4.

    Miller, R. H., Horneffer, P. J., Gardner, T. J., Rykiel, M. F., & Pearson, T. A. (1988). The epidemiology of the postpericardiotomy syndrome: A common complication of surgery. American Heart Journal, 116, 1323–1329.

    PubMed  Article  CAS  Google Scholar 

  5. 5.

    Hargreaves, M., & Bashir, Y. (1994). Postcardiotomy syndrome following transvenous pacemaker insertion. European Heart Journal, 15, 1005–1007.

    PubMed  CAS  Google Scholar 

  6. 6.

    Bajaj, B. P. S., Evans, K. E., & Thomas, P. (1999). Postpericardiotomy syndrome following temporary and permanent transvenous pacing. Postgraduate Medical Journal, 75, 357–358.

    PubMed  CAS  Google Scholar 

  7. 7.

    Velander, M., Grip, L., & Mogensen, L. (1993). The postcardiac injury syndrome following percutaneous transluminal coronary angioplasty. Clinical Cardiology, 16, 353–354.

    PubMed  CAS  Article  Google Scholar 

  8. 8.

    Escaned, J., Ahmad, R. A., & Shiu, M. F. (1992). Pleural effusion following coronary perforation during balloon angioplasty: an unusual presentation of the postpericardiotomy syndrome. European Heart Journal, 13, 716–717.

    PubMed  CAS  Google Scholar 

  9. 9.

    Hearne, C., & Forjuoh, S. N. (2003). Postcardiac injury syndrome after coronary angioplasty and stenting. Journal of the American Board of Family Practice, 16, 73–74.

    PubMed  Article  Google Scholar 

  10. 10.

    Turitto, G., Abordo, M. G. Jr., Mandawat, M. K., Togay, V. S., & El-Sherif, N. (1998). Radiofrequency ablation for cardiac arrhythmias causing postcardiac injury syndrome. American Journal of Cardiology, 81, 369–370.

    PubMed  Article  CAS  Google Scholar 

  11. 11.

    Stelzner, T. J., King, T. E. Jr., Antony, V. B., & Sahn, S. A. (1983). The pleuropulmonary manifestations of the postcardiac injury syndrome. Chest, 84, 383–387.

    PubMed  CAS  Google Scholar 

  12. 12.

    Scheinman, M. M., & Huang, S. (2000). The 1998 NASPE prospective catheter ablation registry. Pacing and Clinical Electrophysiology, 23, 1020–1028.

    PubMed  Article  CAS  Google Scholar 

  13. 13.

    Koller, M. L., Maier, S. K., Bauer, W. R., & Schanzenbacher, P. (2004). Postcardiac injury syndrome following radiofrequeny ablation of atrial flutter. Zeitschrift für Kardiologie, 93, 560–565.

    PubMed  Article  CAS  Google Scholar 

  14. 14.

    Normura, Y., Yoshinaga, M., Haraguchi, T., Oku, S., Noda, T., Miyata, K., et al. (1994). Relationship between degree of injury at operation and the change in antimyosin antibody titer in the postpericardiotomy syndrome. Pediatric Cardiology, 15, 116–120.

    Google Scholar 

Download references

Author information



Corresponding author

Correspondence to XiaoSheng Hu.

Rights and permissions

Reprints and Permissions

About this article

Cite this article

Zheng, L.R., Hu, X., Xia, S. et al. Postcardiac injury syndrome following radiofrequency ablation of idiopathic left ventricular tachycardia. J Interv Card Electrophysiol 18, 269–271 (2007).

Download citation


  • Catheter ablation
  • Ventricular tachycardia
  • Postcardiac injury syndrome