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European Heart Journal 1994 15(7):1005-1007;
Copyright © 1994 by the European Society of Cardiology.
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© 1994 The European Society of Cardiology

Postcardiotomy syndrome following transvenous pacemaker insertion

M. HARGREAVES and Y. BASHIR

Cardiac Department, John Radcliffe Hospital Headington, Oxford 0X3 9DU

Received 25 October 1993; revised 24 February 1994; .

Correspondence: Dr M. Hargreaves, Cardiac Dept, John Radchffe Hospital, Headington, Oxford OX3 9DU, U.K.

Abstract

We describe a case of postcardiotomy syndrome following permanent pacemaker insertion. A 79-year-old woman presented with complete heart block. Following temporary pacing, a dual chamber permanent pacemaker was inserted. Two weeks later she developed fevers and malaise with an acute rise in inflammatory markers. After systemic infection had been carefully excluded, she was commenced on prednisolone with immediate benefit. Prednisolone was withdrawn over 2 months without recurrence of symptoms. Although the postcardiotomy syndrome is rare following transvenous pacemaker insertion it should be considered in the differential diagnosis of fevers and malaise after implantation.

Key Words: Cardiac pacing • dual chamber pacemaker • postcardiotomy syndrome • steroids


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