Hi again, a biotronik pacemaker put in May 21, 2018 for SSS as well as fainting and flatlining. I was diagnosed with pericarditis with effusion end of July but thinking back may have been symptomatic earlier. My pacemaker is working fine, however my local cardiologist felt the lead had micro perforated and needed to be replaced stat. My EP disagreed so I left it as is. I received steroids for the first round of pericarditis and the fluid went to low but was there in small quantities all year. This month, early April, I had an attack of very low bp in my bed, EMS arrived and would not even transport me until I had received two bags of fluid. The next day I found out I again had pericarditis with a large effusion. I was hospitalized 5 days and fluid went to small-moderate with colchicine. The EP on call at the hospital thinks it’s inflammation, like my heart is rebelling against the leads, and says it happens, rarely, but it happens. Anyone else experience this, and if so, symptoms and what you did. I am going to Cleveland Clinic in June, as they have a pericarditis clinic. Thx Members of the club we did not want to belong to!