Delayed pericarditis and cardiac tamponade associated with active-fixation lead pacemaker in the presence of mitochondrial myopathy and Ockham's razor.

@article{Schiariti2009DelayedPA,
  title={Delayed pericarditis and cardiac tamponade associated with active-fixation lead pacemaker in the presence of mitochondrial myopathy and Ockham's razor.},
  author={Michele Schiariti and Maria T Cacciola and Antonio Pangallo and Francesco Ciancia and Paolo Emilio Puddu},
  journal={Journal of cardiovascular medicine},
  year={2009},
  volume={10 11},
  pages={879-82}
}
A 23-year-old male patient, with a diagnosed mitochondrial myopathy, encephalopathy, lactic acidosis and stroke-like episodes, was referred for recurrent fainting. Long sinus pauses were documented, and an atrial pacemaker with an active-fixation lead was implanted. He was admitted again 4 months later because of chest pain and diffuse ST segment changes. On the basis of these, pericarditis was diagnosed, corticosteroid therapy and the adjunct of salicylates were started, which in few hours… CONTINUE READING