Síndrome de Dressler

Autores/as

  • Maria Cristina Martínez-Ávila Universidad de Cartagena. Cartagena, Colombia https://orcid.org/0000-0002-1542-0249
  • Camilo José Polanco-Guerra Nuevo Hospital Bocagrande. Cartagena, Colombia
  • Carlos Manuel Restrepo-Guette Universidad del Norte. Barranquilla, Colombia
  • Amilkar José Almanza-Hurtado Universidad de Cartagena. Cartagena, Colombia https://orcid.org/0000-0002-0222-2403
  • Tomas Rodríguez-Yánez Universidad de Cartagena. Cartagena, Colombia

DOI:

https://doi.org/10.17533/udea.iatreia.201

Palabras clave:

Infarto del miocardio, Inflamación, Pericarditis, Síndrome pospericardiotomía

Resumen

El síndrome de Dressler es un tipo de pericarditis desarrollada por una lesión aguda al miocardio o pericardio. Se presenta hasta la décima semana posterior al infarto. Es de mencionar que la lesión miocárdica previa al síndrome puede deberse a cardiotomía. Así, si bien el enfoque general es posinfarto, existen fuentes que se refieren al síndrome poscardiotomía. Su fisiopatología es incierta: puede deberse a una interacción entre el sistema de complemento y el tejido afectado. A la fecha no existen signos patognomónicos o criterios consensuados, lo que lo hace un fuerte reto para el clínico. Para el diagnóstico es necesario el antecedente de lesión miocárdica o pericárdica, junto con marcadores inflamatorios y alteraciones electrocardiográficas; las imágenes son útiles para descartar diferenciales y complicaciones. El tratamiento se realiza según la estabilidad hemodinámica y comorbilidades. Es necesario el conocimiento de este síndrome que, si bien suele ser autolimitado, tiene un alto número de recurrencias, lo cual afecta la calidad de vida de los pacientes.

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Biografía del autor/a

Maria Cristina Martínez-Ávila, Universidad de Cartagena. Cartagena, Colombia

Médico especialista en Epidemiología. Grupo BIOTOXAM. Universidad de Cartagena. Cartagena, Colombia.

Camilo José Polanco-Guerra, Nuevo Hospital Bocagrande. Cartagena, Colombia

Médico general. Nuevo Hospital Bocagrande. Cartagena, Colombia.

Carlos Manuel Restrepo-Guette, Universidad del Norte. Barranquilla, Colombia

Médico residente de Medicina Interna. Universidad del Norte. Barranquilla, Colombia.

Amilkar José Almanza-Hurtado, Universidad de Cartagena. Cartagena, Colombia

Médico especialista en Medicina Interna, fellow Medicina Crítica y Cuidados Intensivos. Universidad de Cartagena. Cartagena, Colombia.

Tomas Rodríguez-Yánez, Universidad de Cartagena. Cartagena, Colombia

Médico especialista en Medicina Interna, fellow Medicina Crítica y Cuidados Intensivos. Universidad de Cartagena. Cartagena, Colombia.

Citas

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Publicado

27-10-2022

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1.
Martínez-Ávila MC, Polanco-Guerra CJ, Restrepo-Guette CM, Almanza-Hurtado AJ, Rodríguez-Yánez T. Síndrome de Dressler. Iatreia [Internet]. 27 de octubre de 2022 [citado 2 de marzo de 2024];36(4). Disponible en: https://revistas.udea.edu.co/index.php/iatreia/article/view/347743

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