ArticleJACC. Case reports2025
Acute Pericarditis After Pulsed Field Ablation for Atrial Fibrillation.
Article in JACC. Case reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
5 citing papers in PubMed.
- Pulsed Field Ablation Is Associated With Fewer Post-Procedural Pericardial Inflammatory Symptoms Compared With Radiofrequency Ablation.Journal of cardiovascular electrophysiology · 2026Observational
- The Immune System as a Proarrhythmic Mediator: A Novel Paradigm for the Development of New Antiarrhythmic Therapy.The Canadian journal of cardiology · 2026Review
- Postcardiac injury syndrome after pulsed field ablation for atrial fibrillation: a case report.European heart journal. Case reports · 2026Article
- Pulsed Field Ablation for Atrial Fibrillation in Patients With Obesity: Procedural and Clinical Outcomes.Pacing and clinical electrophysiology : PACE · 2026Observational
- A case of post-ablation chest pain: Navigating the diagnostic dilemma.Heart rhythm O2 · 2026Article
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Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPulsed field ablation (PFA) is a novel nonthermal ablation technique for atrial fibrillation, offering myocardial selectivity and a favorable safety profile. However, postprocedural pericarditis remains rarely reported. CASE SUMMARY: A 62-year-old man with paroxysmal atrial fibrillation underwent PFA with intracardiac echocardiography. Ablation was delivered at 2.0 kV, and postprocedural intracardiac echocardiography showed no pericardial effusion. Twelve hours later, the patient developed pleuritic chest pain. Electrocardiography showed PR-segment depression and diffuse ST-segment elevation. Transthoracic echocardiography revealed a 3-mm pericardial effusion, with elevated inflammatory biomarkers. Acute pericarditis was diagnosed, and the patient was treated with hydrocortisone, ibuprofen, and colchicine, resulting in symptom resolution within 4 weeks. DISCUSSION: Despite the nonthermal mechanism of PFA, acute pericarditis may occur as an early complication. Indirect myocardial inflammation and immune-mediated responses may contribute. Early recognition enables timely management. TAKE-HOME MESSAGES: Acute pericarditis can occur after PFA. Prompt anti-inflammatory therapy is essential for optimal outcomes.
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