{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T19:32:09Z","timestamp":1786649529549,"version":"build-2736575974"},"reference-count":15,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"2","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2024,4]]},"abstract":"<jats:p>Percutaneous coronary intervention (PCI) is a very rare cause of acute pericarditis. It usually develops after a latent period but can present early in case of procedural complications. A high degree of suspicion is required for diagnosis as most cases can be easily missed. Here, we highlight a case of 54-year-old admitted as a case of non-ST elevated myocardial infarction who in view of ongoing chest pain underwent urgent coronary angiography, followed by the primary PCI to left anterior descending artery after which the patient became pain-free. However, 12 h after the procedure, the patient developed severe persistent chest pain with positional and respiratory variation. He was suspected to have reinfarction and treated accordingly but had no symptomatic improvement and was planned for check angiography. However, based on dynamic electrocardiogram (ECG) changes, new echocardiographic findings aided laboratory parameters, he was diagnosed with acute pericarditis. He was treated with nonsteroidal anti-inflammatory drugs following which his pain resolved and ECG returned to baseline after 4 days. His follow-up echocardiography showed complete resolution of pericardial effusion. This case highlights the importance of keeping acute pericarditis as a differential diagnosis of chest pain in PCI patients. A high degree of suspicion is required, as most cases are easily missed to diagnose.<\/jats:p>","DOI":"10.4103\/heartviews.heartviews_98_23","type":"journal-article","created":{"date-parts":[[2024,10,9]],"date-time":"2024-10-09T12:17:28Z","timestamp":1728476248000},"page":"110-114","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":1,"title":["Acute Pericarditis Manifesting as Persistent Chest Pain Following Primary Percutaneous Coronary Intervention: A Missed Diagnosis"],"prefix":"10.4103","volume":"25","author":[{"given":"Vivek","family":"Mohanty","sequence":"first","affiliation":[{"name":"Department of Cardiology, AIIMS, Jodhpur, Rajasthan, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sourabh","family":"Goswami","sequence":"additional","affiliation":[{"name":"Department of Cardiology, AIIMS, Jodhpur, Rajasthan, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rahul","family":"Choudhary","sequence":"additional","affiliation":[{"name":"Department of Trauma and Emergency Medicine (Cardiology), AIIMS, Jodhpur, Rajasthan, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2024,10,10]]},"reference":[{"key":"R1-20260427","doi-asserted-by":"crossref","first-page":"2195","DOI":"10.1056\/NEJMcp041997","article-title":"Clinical practice. Acute pericarditis","volume":"351","author":"Lange","year":"2004","journal-title":"N Engl J Med"},{"key":"R2-20260427","doi-asserted-by":"crossref","first-page":"1498","DOI":"10.1001\/jama.2015.12763","article-title":"Evaluation and treatment of pericarditis: A systematic review","volume":"314","author":"Imazio","year":"2015","journal-title":"JAMA"},{"key":"R3-20260427","first-page":"1695","article-title":"Diagnosing pericarditis","volume":"66","author":"Goyle","year":"2002","journal-title":"Am Fam Physician"},{"key":"R4-20260427","doi-asserted-by":"crossref","first-page":"e19","DOI":"10.1016\/j.ijcard.2007.04.159","article-title":"Uncommon presentation of postcardiac injury syndrome: Acute pericarditis after percutaneous coronary intervention","volume":"128","author":"Gungor","year":"2008","journal-title":"Int J Cardiol"},{"key":"R5-20260427","doi-asserted-by":"crossref","first-page":"490.","DOI":"10.3390\/medicina57050490","article-title":"Acute pericarditis after percutaneous coronary intervention: A case report","volume":"57","author":"Rodevi\u010d","year":"2021","journal-title":"Medicina (Kaunas)"},{"key":"R6-20260427","doi-asserted-by":"crossref","first-page":"648","DOI":"10.1016\/j.ijcard.2012.09.052","article-title":"Post-cardiac injury syndromes. An emerging cause of pericardial diseases","volume":"168","author":"Imazio","year":"2013","journal-title":"Int J Cardiol"},{"key":"R7-20260427","doi-asserted-by":"crossref","first-page":"717","DOI":"10.1016\/S0140-6736(04)15648-1","article-title":"Pericarditis","volume":"363","author":"Troughton","year":"2004","journal-title":"Lancet"},{"key":"R8-20260427","first-page":"617","article-title":"Anti-heart antibodies in the postpericardiotomy and the postmyocardial-infarction syndromes","volume":"2","author":"Van","year":"1964","journal-title":"Lancet"},{"key":"R9-20260427","doi-asserted-by":"crossref","first-page":"631","DOI":"10.1016\/0002-9149(85)91024-0","article-title":"Post-cardiac injury syndrome and an increased humoral immune response against the major contractile proteins (actin and myosin)","volume":"56","author":"De Scheerder","year":"1985","journal-title":"Am J Cardiol"},{"key":"R10-20260427","doi-asserted-by":"crossref","first-page":"480","DOI":"10.1253\/jcj.65.480","article-title":"Clinical characteristics of patients with constrictive pericarditis after coronary bypass surgery","volume":"65","author":"Matsuyama","year":"2001","journal-title":"Jpn Circ J"},{"key":"R11-20260427","doi-asserted-by":"crossref","first-page":"503","DOI":"10.1177\/000331970305400418","article-title":"Acute pericarditis following percutaneous transluminal coronary intervention \u2013 A case report","volume":"54","author":"Hung","year":"2003","journal-title":"Angiology"},{"key":"R12-20260427","first-page":"E27","article-title":"Acute pericarditis after percutaneous coronary intervention mimicking inferolateral ST-elevation myocardial infarction","volume":"25","author":"Yang","year":"2013","journal-title":"J Invasive Cardiol"},{"key":"R13-20260427","first-page":"106","article-title":"Coronary aneurysm formation after primary coronary angioplasty","volume":"49","author":"Pavlakis","year":"2008","journal-title":"Hellenic J Cardiol"},{"key":"R14-20260427","doi-asserted-by":"crossref","first-page":"2921","DOI":"10.1093\/eurheartj\/ehv318","article-title":"2015 ESC guidelines for the diagnosis and management of pericardial diseases: The task force for the diagnosis and management of pericardial diseases of the European Society of Cardiology (ESC) endorsed by: The European Association for Cardio-Thoracic Surgery (EACTS)","volume":"36","author":"Adler","year":"2015","journal-title":"Eur Heart J"},{"key":"R15-20260427","first-page":"21","article-title":"Post-cardiac injury syndrome: aetiology, diagnosis, and treatment","volume":"15","author":"Sasse","year":"2017","journal-title":"ESC E-Journal of Cardiology Practice"}],"container-title":["Heart Views"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/heartviews.heartviews_98_23","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T18:55:04Z","timestamp":1786647304000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/heartviews.heartviews_98_23"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,4]]},"references-count":15,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2024]]}},"URL":"https:\/\/doi.org\/10.4103\/heartviews.heartviews_98_23","relation":{},"ISSN":["1995-705X","0976-5123"],"issn-type":[{"value":"1995-705X","type":"print"},{"value":"0976-5123","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,4]]},"assertion":[{"value":"2023-08-28","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-06-13","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}