Dressler Syndrome
DOI:
https://doi.org/10.17533/udea.iatreia.201Keywords:
Myocardial Infarction, Pericarditis, Postpericardiotomy Syndrome, InflammationAbstract
Dressler syndrome is a form of pericarditis arising from acute injury to the myocardium or pericardium. It manifests within the tenth week post-infarction. It is noteworthy that the myocardial injury preceding the syndrome may result from cardiotomy. Thus, while the general focus is post-infarction, sources also refer to post-cardiotomy syndrome. Its pathophysiology remains
uncertain, potentially involving an interaction between the complement system and affected tissue. To date, no pathognomonic signs or consensus criteria exist, posing a substantial challenge for clinicians. Diagnosis necessitates a history of myocardial or pericardial injury, in conjunction with inflammatory markers and electrocardiographic abnormalities; imaging aids in ruling out differentials and complications. Treatment is tailored based on hemodynamic stability and comorbidities. Acquaintance with
this syndrome is crucial, as though it often follows a self-limiting course, a high recurrence rate impairs patients’ quality of life.
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