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Dressler's syndrome

**{{{Name|Dressler's syndrome}}}**
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}} Dressler's syndrome is form of pericarditisthat occurs in the setting of injury to the heartor the pericardium(the outer lining of the heart).

Dressler's syndrome is also known as postmyocardial infarction syndrome and postcardiotomy pericarditis.

Inhaltsverzeichnis

1 Presentation
2 Causes
3 Differential diagnosis
4 Treatment
5 See also
6 References
7 External links

Presentation

The syndrome consists of a low-grade fever, chest pain(usually pleuriticin nature), a pericardial friction rub, and /or a pericardial effusion.

Causes

It is is believed to result from an autoimmuneinflammatory reaction to myocardial neo-antigens.

Dressler's syndrome is associated with myocardial infarction(heart attack), and with open heart surgery.

Differential diagnosis

In the setting of myocardial infarction, Dressler's syndrome occurs in about 7 percent of cases¹, and typically occurs 2 to 10 weeks after the myocardial infarction occurred. This differentiates Dressler's syndrome from the much more common post myocardial infarction pericarditis that occurs in 17 to 25 percent of cases of acute myocardial infarction and occurs between days 2 and 4 after the infarction.

Treatment

Dressler's syndrome is typically treated with high-dose salicylatesor NSAIDS.

References

1. Krainin FM, Flessas AP, Spodick DH. Infarction-associated pericarditis. Rarity of diagnostic electrocardiogram. N Engl J Med. 1984 Nov 8;311(19):1211-4. (Medline abstract)

External links

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