The suspicion of persistent ischemia motivated an attempt to perform angioplasty, which was not possible due to the inability to overcome the obstruction, reinforcing the hypothesis of a chronic or subacute injury to that coronary site.

Our website services, content, and products are for informational purposes only. Delayed tamponade triggering Dressler's syndrome after pulmonary vein isolation.

The presence of constrictive chest pain in a patient with coronary artery disease risk factors initially suggested acute myocardial ischemia. When pericarditis associated with Dressler syndrome does occur, it is usually observed 2-3 weeks after a myocardial infarction. It’s also called post-pericardiotomy syndrome, post-myocardial infarction syndrome, or post-cardiac injury syndrome. Dressler syndrome is a type of pericarditis, which is the inflammation of the sac around 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.

However, an immune response can sometimes cause an excessive amount of inflammation.Some of the events that have been known to trigger Dressler syndrome include:Symptoms can occur two to five weeks after the initial event. In response to an injury, the body typically sends immune cells and antibodies to help repair the area.

Healthline Media does not provide medical advice, diagnosis, or treatment. Dressler syndrome (DS) was first described by William Dressler in 1956, after observing the late period development of an acute myocardial infarction (A 46-year-old male with hypertension and diabetes had a 30-minute long episode of strong oppressive chest pain during physical exertion, radiating to the jaw, but did not seek medical care. Newer studies have reported the de facto disappearance of Dressler’s syndrome, a fact that is not yet fully understood.

This becomes especially important in developing countries, where many patients receive no reperfusion therapy due to difficulties in accessing the healthcare system.The authors would like to thank Valeria Costa Hong for her guidance in the organization of the references. Versey JM, Gabriel R. Soluble-complex formation after myocardial infarction. Additional laboratory studies. They’ll listen to your heart with a stethoscope for sounds that might indicate the presence of inflammation or fluid near your heart.If not treated, inflammation of the pericardium can lead to serious complications. Dressler's syndrome is an autoimmune pericarditis what occurs weeks to months after myocardial infarction.

Moreover, the electrocardiogram (EKG Machine, Philips PageWriter Trim III, calibrated) showed diffuse ST-segment elevation with a depression of the PR segment, mainly in DII (Abbreviations: CMR, cardiac magnetic resonance imaging; ECG, electrocardiogram; LVEF, left ventricle ejection fraction; WBC, white blood cell.The coronary angiography revealed proximal occlusion of the circumflex artery, without other stenosis, and an angioplasty attempt was unsuccessful due to the impossibility of overcoming the obstruction.

Ott I, Shahar A, Hod H, Barabash GM, Kaplinsky E, Motro M. Disappearance of a syndrome: Dressler's syndrome in the era of thrombolysis. Lawley C, Mazhar J, Grieve SM, Figtree GA. Visualizing pericardial inflammation in Dressler's syndrome with cardiac magnetic resonance imaging. Case Presentation: A 46-year-old male was admitted to the emergency department due to pleuritic chest pain. 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, postmyocardial infarction syndrome and post-cardiac injury syndrome.Symptoms are likely to appear weeks to months after a heart attack, surgery or injury to the chest. Advertising revenue supports our not-for-profit mission.Check out these best-sellers and special offers on books and newsletters from Mayo Clinic. Evidence for the continued existence of the postmyocardial infarction (Dressler's) syndrome.



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