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A middle-aged man developed sudden-onset pleuritic chest pain, nausea and vomiting 16 days following an ablation procedure. He had no neurological symptoms and was afebrile. Due to his ECG appearances (figure 1A) and symptoms of chest pain, he was admitted for consideration of primary percutaneous coronary intervention. Following admission, he underwent chest radiography (CXR) (figure 1B) and transthoracic echocardiography (TTE) (figure 1C) but was not referred for coronary angiography.
Despite supportive measures, he deteriorated during the subsequent night with raised inflammatory markers and acute kidney injury with metabolic acidosis and hyperkalaemia and became …
Contributors Preparation and writing: all authors. Supervision and conception: CAM.
Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.
Competing interests None declared.
Patient and public involvement Patients and/or the public were not involved in the design, conduct, reporting or dissemination plans of this research.
Provenance and peer review Not commissioned; internally peer reviewed.