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Dressler's Syndrome

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  • Dressler's syndrome

    Dressler's syndrome is a type of pericarditis inflammation of the sac surrounding the heart (pericardium). Dressler's syndrome is believed to be an immune system response after damage to heart tissue or to the pericardium, from events such as a heart attack, surgery or traumatic injury.

    Symptoms include chest pain, which may be similar to chest pain experienced during a heart attack. Dressler's syndrome may also be called postpericardiotomy syndrome, post-myocardial infarction syndrome and post-cardiac injury syndrome. With recent improvements in heart attack treatment, Dressler's syndrome is less common than it used to be.

  • Dressler's syndrome

    Symptoms: Symptoms are likely to appear weeks to months after a heart attack, surgery or injury to the chest.sometimes it may leads to chest pain and fever.

    Diagnosis: Dressler syndrome needs to be differentiated from pulmonary embolism, another identifiable cause of pleuritic (and non-pleuritic) chest pain in people who have been hospitalized and/or undergone surgical procedures within the preceding weeks.

  • Dressler's syndrome

    Treament: Dressler syndrome is typically treated with colchicine. In some resistant cases, corticosteroids can be used but are not preferred due to the high frequency of relapse when corticosteroid therapy is discontinued. NSAIDs though once used to treat Dressler syndrome, are less advocated and should be avoided in patients with ischemic heart disease. NSAIDS should only be used in cases refractory to aspirin.

    Epidemology: The original paper by Dressler in 1956 suggested an incidence of 3-4% of all cases of acute myocardial infarction.It is now much rarer, probably due to modern methods of management of an acute myocardial infarction.

 

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