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. Figure 1 (A) ECG, (B) chest radiography, (C) transthoracic echocardiography on presentation to the hospital. Despite supportive measures, he deteriorated during the subsequent night with raised inflammatory markers and acute kidney injury with metabolic acidosis and hyperkalaemia and became …

中文翻译：

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导管消融术后胸膜炎性胸痛

一名中年男子在消融手术后 16 天出现突发性胸膜炎性胸痛、恶心和呕吐。他没有神经系统症状并且不发热。由于他的心电图表现（图 1A）和胸痛症状，他被考虑接受直接经皮冠状动脉介入治疗。入院后，他接受了胸片 (CXR)（图 1B）和经胸超声心动图（TTE）（图 1C），但并未转诊进行冠状动脉造影。图 1 (A) 心电图、(B) 胸片、(C) 经胸超声心动图向医院展示。尽管采取了支持措施，但他在随后的晚上病情恶化，炎症标志物升高，急性肾损伤伴有代谢性酸中毒和高钾血症，并变得……