Zespół dresslera
Objawy

Zespół Dresslera to wtórne zapalenie osierdzia pojawiające się zwykle 1-6 tygodni po uszkodzeniu serca, najczęściej po zawale mięśnia sercowego, operacji kardiochirurgicznej lub urazie klatki piersiowej. Charakteryzuje się bólem w klatce piersiowej o ostrym lub kłującym charakterze, nasilającym się przy głębokim oddechu i zmniejszającym w pozycji siedzącej, gorączką w zakresie 38,0-39,0°C (rzadziej do 40°C), dusznością, tachykardią, tarciem osierdziowym oraz wysiękiem osierdziowym i opłucnowym. Objawy pojawiają się zwykle po 2-10 tygodniach od incydentu, choć mogą wystąpić już po 3-4 dniach. Zespół ma tendencję do samoograniczania się, ale może prowadzić do poważnych powikłań, takich jak tamponada serca czy zaciskające zapalenie osierdzia (ryzyko około 2,8% w ciągu 72 miesięcy). Nawracające epizody obserwuje się u 10-15% pacjentów, co wymaga długoterminowej obserwacji i leczenia.

Zespół Dresslera – charakterystyka

Zespół Dresslera (łac. Dressler syndrome) to wtórna forma zapalenia osierdzia, która występuje w następstwie uszkodzenia serca lub osierdzia. Jest to rzadkie powikłanie zawału serca, operacji kardiochirurgicznej lub urazu klatki piersiowej. Charakteryzuje się zapaleniem osierdzia oraz możliwym gromadzeniem się płynu w worku osierdziowym (wysięk osierdziowy), a niekiedy także płynu w opłucnej.123

Zespół Dresslera jest obecnie rzadziej obserwowany niż w przeszłości, głównie dzięki postępom w leczeniu zawału serca, w tym wczesnemu zastosowaniu przezskórnej interwencji wieńcowej (PCI). Mimo to, powinien być brany pod uwagę u wszystkich pacjentów z utrzymującym się złym samopoczuciem lub zmęczeniem po zawale mięśnia sercowego lub operacji serca, szczególnie jeśli objawy pojawiają się po upływie dwóch tygodni od incydentu.123

Należy odróżnić zespół Dresslera od wczesnego zapalenia osierdzia związanego z zawałem, które występuje w ciągu kilku dni po zawale. Zespół Dresslera pojawia się typowo po dłuższym okresie latencji, a jego patogeneza wiąże się prawdopodobnie z mechanizmami autoimmunologicznymi.12

Czas wystąpienia objawów

Objawy zespołu Dresslera zazwyczaj pojawiają się w okresie od 1 do 6 tygodni po pierwotnym uszkodzeniu osierdzia lub mięśnia sercowego. U niektórych pacjentów objawy mogą rozwinąć się nawet po upływie kilku miesięcy.123

Typowo zespół Dresslera manifestuje się po następujących przedziałach czasowych:

  • 2-3 tygodnie po zawale mięśnia sercowego12
  • 2-8 tygodni po zawale serca (według niektórych źródeł)12
  • 2-10 tygodni po zawale (według innych źródeł)12
  • Niektóre przypadki mogą wystąpić już po 3-4 dniach od urazu serca1

Choroba ma tendencję do ustępowania w ciągu kilku dni, jednak w rzadkich przypadkach może prowadzić do tamponady osierdzia. W niektórych przypadkach zespół Dresslera może mieć charakter nawracający, co oznacza, że objawy mogą nawracać po leczeniu nawet do roku po pierwotnym urazie.12

Objawy kliniczne

Ból w klatce piersiowej

Ból w klatce piersiowej jest najczęstszym objawem zespołu Dresslera, występującym u 70-90% pacjentów. Charakteryzuje się następującymi cechami:12

  • Ostry lub kłujący charakter bólu, niekiedy opisywany jako uciskający12
  • Nasilenie bólu podczas głębokich oddechów, kaszlu lub leżenia (ból opłucnowy)12
  • Zmniejszenie bólu w pozycji siedzącej, pochylonej do przodu lub stojącej12
  • Możliwe promieniowanie bólu do lewego barku, szyi, ramienia lub nadbrzusza12
  • Nasilenie bólu podczas aktywności fizycznej1

Istotne jest, że ból w klatce piersiowej może przypominać ból występujący podczas zawału serca, co może utrudniać diagnostykę różnicową.12

Gorączka i objawy ogólnoustrojowe

Gorączka jest charakterystycznym objawem zespołu Dresslera, występującym u 60-80% pacjentów. Jest ona jednym z kluczowych wskaźników trwającego procesu zapalnego w osierdziu:12

  • Typowo temperatura ciała mieści się w przedziale 38,0-39,0°C (100,4-102,2°F)12
  • Odnotowano także przypadki gorączki sięgającej 40°C (104°F)12
  • Gorączka zwykle ustępuje w ciągu 2-3 tygodni12

Inne objawy ogólnoustrojowe towarzyszące zespołowi Dresslera to:12

  • Złe samopoczucie i uogólnione osłabienie (50-70% pacjentów)12
  • Zmęczenie12
  • Drażliwość12
  • Zmniejszony apetyt12

Objawy układu oddechowego i krążenia

Zespół Dresslera często wiąże się z objawami ze strony układu oddechowego i sercowo-naczyniowego:12

  • Duszność (dyspnea) – występuje u 40-60% pacjentów, może nasilać się w pozycji leżącej (ortopnea)12
  • Tachykardia lub palpitacje serca – występują u 30-50% pacjentów123
  • Tarcie osierdziowe – charakterystyczny dźwięk słyszalny podczas osłuchiwania, opisywany jako podobny do dźwięku chodzenia po świeżym śniegu12
  • Objawy zapalenia płuc – kaszel, obniżone wysycenie tlenem, gorączka12
  • Wysięk opłucnowy – występuje często, zwykle lewostronny, wysiękowy, surowiczo-krwisty lub krwotoczny12
  • Paradoks tętniczy (pulsus paradoxus) – spadek ciśnienia tętniczego o więcej niż 10 mmHg podczas wdechu12
  • Objaw Kussmaula – wzrost ciśnienia w żyłach szyjnych podczas wdechu (w ciężkich przypadkach)1

Inne objawy

Do rzadziej występujących objawów zespołu Dresslera należą:12

  • Bóle stawowe (artralgie) – występują u 10-20% pacjentów12
  • Obrzęki – występują u 10-20% pacjentów, głównie w kończynach dolnych12

Przebieg choroby i powikłania

Naturalny przebieg choroby

Przebieg zespołu Dresslera jest zwykle ostry, jednak u niektórych pacjentów może rozwinąć się przewlekłe zapalenie osierdzia. W większości przypadków choroba ma charakter samoograniczający się i odpowiada na leczenie zachowawcze.12

Typowy przebieg choroby obejmuje:12

  • Objawy mogą początkowo być łagodne, a następnie nasilać się1
  • Odpowiedź na leczenie występuje zwykle w ciągu 2 tygodni1
  • Całkowity czas leczenia wynosi zazwyczaj 4-6 tygodni1
  • Powrót do zdrowia może trwać 2-4 tygodnie, ale leki należy przyjmować przez 4-6 tygodni1

Ryzyko nawrotów

Jedną z istotnych cech zespołu Dresslera jest możliwość wystąpienia nawrotów. W przeciwieństwie do wczesnego zapalenia osierdzia związanego z zawałem, zespół Dresslera wiąże się z istotnym ryzykiem nawrotu.12

  • Nawroty występują u około 10-15% pacjentów123
  • Mogą wystąpić w ciągu roku od pierwotnego incydentu1
  • Ryzyko nawrotów jest niższe niż w przypadku idiopatycznego zapalenia osierdzia1

Powikłania

W większości przypadków rokowanie w zespole Dresslera jest dobre, jednak mogą wystąpić potencjalnie poważne powikłania:12

  1. Wysięk osierdziowy – gromadzenie się płynu w worku osierdziowym na skutek zapalenia12
  2. Tamponada serca – najpoważniejsze potencjalne powikłanie, prowadzące do ryzyka całkowitego załamania układu krążenia12
    • Charakteryzuje się triadą Becka: niskie ciśnienie tętnicze, rozdęcie żył szyjnych i przytłumione/odległe tony serca1
  3. Zaciskające zapalenie osierdzia – może rozwinąć się na skutek przewlekłego zapalenia12
    • Ryzyko zaciskającego zapalenia osierdzia wynosi około 2,8% w ciągu 72 miesięcy1
    • Może prowadzić do konieczności wykonania perikardiektomii (usunięcia osierdzia)12
  4. Ponowne gromadzenie się płynu – pacjenci wymagający drenażu osierdzia mają zwiększone ryzyko ponownego gromadzenia się płynu i konieczności powtórnej perikardiocentezy12

Rokowanie

Rokowanie w zespole Dresslera jest zazwyczaj dobre, szczególnie przy wczesnym rozpoznaniu i leczeniu. Postęp w leczeniu zawału mięśnia sercowego przyczynił się do zmniejszenia częstości występowania tego zespołu.12

Czynniki wpływające na rokowanie:12

  • Wczesna interwencja znacząco poprawia wyniki leczenia1
  • Obecność dodatkowych chorób sercowo-naczyniowych może komplikować proces zdrowienia1
  • Niezbędna jest długoterminowa obserwacja ze względu na ryzyko nawrotów i zaciskającego zapalenia osierdzia12
  • Większość pacjentów odczuwa ulgę w objawach przy odpowiednim leczeniu1

Kiedy szukać pomocy medycznej

Należy natychmiast szukać pomocy medycznej w przypadku:123

  • Bólu w klatce piersiowej, szczególnie gdy jest nowy, nasilający się lub ciągły
  • Trudności z oddychaniem
  • Wystąpienia powyższych objawów, zwłaszcza po niedawnym zawale serca, operacji kardiochirurgicznej lub urazie klatki piersiowej

Jeśli objawy utrzymują się dłużej niż 2 tygodnie po zawale serca lub zabiegu kardiologicznym, należy skonsultować się z lekarzem.1

W rzadkich przypadkach objawy zespołu Dresslera mogą zagrażać życiu, dlatego ważne jest poszukiwanie pomocy medycznej przy wystąpieniu bólu w klatce piersiowej i trudności z oddychaniem, szczególnie po niedawnej hospitalizacji z powodu problemów kardiologicznych.12

Kolejne rozdziały

Zapraszamy do dalszego czytania naszego leksykonu.

Wybierz kolejny rozdział z menu poniżej, aby otworzyć nową podstronę kompedium wiedzy i uzyskać szczegółowe informację o leku, substancji lub chorobie.

  1. 10.04.2026
  2. www.leksykon.com.pl

Materiały źródłowe

  • #1 Dressler Syndrome – StatPearls – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/books/NBK441988/
    Dressler syndrome, also known as postmyocardial infarction syndrome, is a form of secondary pericarditis with or without pericardial effusion that occurs as a result of injury to the heart or pericardium. Given its wide-ranging clinical presentation, Dressler syndrome can be difficult for health professionals to recognize. […] Though not a common condition, Dressler syndrome should be considered in all patients presenting with persistent malaise or fatigue following a myocardial infarction (MI) or cardiac surgery, especially if symptoms present greater than two weeks following the event. […] Patients typically present with symptoms of Dressler syndrome 1 to 6 weeks following the initial damage to the pericardium. The most commonly encountered symptoms include fever, malaise/generalized weakness, pleuritic chest pain, irritability, decreased appetite, palpitations/tachycardia, dyspnea (with or without hypoxia), and arthralgias. […] Though most patients tend to present with a temperature between 100.4 F and 102.2 F (measured orally), occasional reports of temperatures as high as 104 F have been noted. Not all patients will appear concomitantly ill, and the fever generally will subside within 2 to 3 weeks.
  • #1 Post-cardiac injury syndrome: aetiology, diagnosis, and treatment
    https://www.escardio.org/Journals/E-Journal-of-Cardiology-Practice/Volume-15/Post-cardiac-injury-syndrome-aetiology-diagnosis-and-treatment
    Post-myocardial infarction pericarditis can be differentiated into early infarct-associated pericarditis and late post-myocardial infarction pericarditis, also known as Dresslers syndrome. […] Dresslers syndrome, on the other hand, occurs two to eight weeks after infarction and is also very rare nowadays in clinical settings. […] Importantly, and in marked contrast to early infarct-associated pericarditis, Dresslers syndrome implies a relevant risk of recurrence. […] Recurrence of PCIS has been reported to be lower than recurrences of idiopathic pericarditis, ranging between 10% and 15%. In contrast to idiopathic pericarditis, however, the risk of pericardial constriction is substantial for PCIS, approximating 2.8% over 72 months. Therefore, affected patients need long-term follow-up.
  • #1 Dressler syndrome – Wikipedia
    https://en.wikipedia.org/wiki/Dressler_syndrome
    Dressler syndrome is a secondary form of pericarditis that occurs in the setting of injury to the heart or the pericardium (the outer lining of the heart). It consists of fever, pleuritic pain, pericarditis and/or pericardial effusion. […] The disease consists of persistent low-grade fever, chest pain (usually pleuritic), pericarditis (usually evidenced by a pericardial friction rub, chest pain worsening when recumbent, and diffuse ST elevation with PR segment depression), and/or pericardial effusion. The symptoms tend to occur 2-3 weeks after myocardial infarction but can also be delayed a few months. It tends to subside in a few days, and very rarely leads to pericardial tamponade. Elevated ESR is an objective but nonspecific laboratory finding.
  • #1 Dressler’s Syndrome: Understanding the Causes, Symptoms and Treatment
    https://www.clinicianrevision.com/courses/cardiology/lessons/pericardial-disease/topic/dresslers-syndrome/
    Dresslers syndrome is a rare complication that can develop 2-10 weeks post-myocardial infarction or heart surgery. The condition is characterized by chest pain, fever, and an elevated white blood cell count. […] The most common symptom of Dresslers Syndrome is chest pain, which is usually located in the middle or left side of the chest. The pain is often described as a dull, aching pain, and it may be worse when the person is lying down. Other clinical features can include fever, an elevated white blood cell count and pericardial effusion (a build-up of fluid in the pericardium). […] Chest pain is usually sharp and well-localised, relieved by leaning forwards, radiates to the left shoulder, down the arm or into the abdomen, and is pleuritic. […] Signs include pericardial rub, fever, heart failure, pulsus paradoxus (10 mmHg drop in blood pressure on inspiration) in severe cases, and Kussmauls sign (rise of JVP on inspiration) in severe cases.
  • #1 Dressler’s syndrome: Causes, symptoms, and treatments
    https://www.medicalnewstoday.com/articles/dresslers-syndrome
    Dresslers syndrome may cause the following symptoms: weakness and tiredness, fever, chest pain that can worsen when inhaling and improves when leaning forward, irritable mood, low appetite, breathing problems, joint pain. […] These symptoms may develop between 3 to 4 days and 2 to 6 weeks after a heart injury, with some occurring several months later. Dresslers syndrome can be recurrent, meaning that symptoms may relapse or come back following treatment up to 1 year after the original injury. […] If a person feels these symptoms for more than 2 weeks after a heart attack or heart procedure, they need to speak with a doctor.
  • #1 Understanding Dressler’s Syndrome: Causes, Symptoms & Treatment – The Kingsley Clinic
    https://thekingsleyclinic.com/resources/understanding-dresslers-syndrome-causes-symptoms-treatment/
    Dressler’s syndrome is an inflammatory condition that affects the pericardium and is often triggered by heart trauma. […] Early symptoms of Dressler’s syndrome may include mild chest pain and fatigue, but the condition can worsen if not treated. In severe cases, inflammation can lead to complications such as pericardial effusion or cardiac tamponade, a life-threatening situation where fluid buildup compresses the heart, impairing its ability to pump blood effectively. […] Chest pain is the most common symptom of Dressler’s syndrome, affecting 70-90% of patients. This pain is often sharp or stabbing and tends to worsen with deep breaths, coughing, or lying flat. […] Fever is reported in 60-80% of cases and is part of the body’s inflammatory response to immune-mediated pericardial damage.
  • #1 Dressler Syndrome: Causes, Diagnosis, and Treatment
    https://www.healthline.com/health/dressler-syndrome
    Symptoms can occur 2 to 5 weeks after the initial event. In some people, symptoms may not develop for as long as 3 months. […] Symptoms include: chest pain that’s worse when lying down, chest pain that worsens with deep breathing or coughing (pleuritic pain), fever, difficult or labored breathing, fatigue, decreased appetite.
  • #1 Pericarditis – after heart attack – UF Health
    https://ufhealth.org/conditions-and-treatments/pericarditis-after-heart-attack
    Late pericarditis: This is also called Dressler syndrome. It most often develops several weeks or months after a heart attack, heart surgery, or other trauma to the heart. […] Symptoms include: […] Chest pain from the swollen pericardium rubbing on the heart. The pain may be sharp, tight or crushing and may move to the neck, shoulder, or abdomen. The pain may also be worse when you breathe and go away when you lean forward, stand, or sit up. […] Fever (common with the second type of pericarditis) […] A buildup of fluid in the covering of the heart or space around the lungs (pericardial effusion) is not common after a heart attack. But, it often does occur in some people with Dressler syndrome.
  • #1 Dressler’s Syndrome | Doctor
    https://patient.info/doctor/dresslers-syndrome
    It is characterised by pleuritic chest pain, low-grade fever and pericarditis (autopsy shows localised fibrinous pericarditis), which may be accompanied by pericardial effusion. […] It usually presents one to six weeks after the initial episode of MI, with pain and fever that may suggest further infarction. […] The pain is the main symptom, often in the left shoulder, often pleuritic, and worse on lying down. […] There may be malaise, fever and dyspnoea. […] Rarely, it may cause cardiac tamponade or acute pneumonitis. […] A pericardial friction rub may be heard. The typical sound of pericarditis is described as like the sound of boots walking over fresh snow. […] It can follow a relapsing course but the outcome is usually favourable, depending on the nature and severity of co-existing heart disease. Response to treatment is generally good within two weeks. Follow-up with echocardiogram is advised – for example, at one and three years, due to the risk of pericardial constriction.
  • #1 Dressler’s Syndrome: Causes, Symptoms and Treatment
    https://my.clevelandclinic.org/health/diseases/17947-dresslers-syndrome
    Dresslers syndrome usually occurs within one to six weeks after heart surgery or a heart attack, but it can take up to several months for symptoms to develop. […] Symptoms of Dresslers syndrome may include: Fatigue. Weakness. Fever. Chest pain thats worse with breathing or lying down, can be felt in your chest, upper back or left shoulder and can get worse with activity. Difficult or labored breathing (dyspnea). It may be more difficult to breathe when you recline or lie down. Rapid heartbeat (tachycardia) or heart palpitations. Pericardial effusion (fluid buildup between your pericardium and your heart). Painful joints. Less of a desire to eat. […] Rarely, Dresslers syndrome symptoms can be life-threatening. Its important to seek medical treatment if you experience chest pain and have trouble breathing, especially if youve recently been in the hospital for heart issues.
  • #1 Dressler’s syndrome – Autoimmune Association
    https://autoimmune.org/disease-information/dresslers-syndrome/
    Dressler’s syndrome symptoms include chest pain, much like that experienced during a heart attack, and fever. […] Symptoms are likely to appear weeks to months after a heart attack, surgery or other heart injury.
  • #1 Understanding Dressler’s Syndrome: Causes, Symptoms & Treatment – The Kingsley Clinic
    https://thekingsleyclinic.com/resources/understanding-dresslers-syndrome-causes-symptoms-treatment/
    Malaise, a general feeling of discomfort and fatigue, affects 50-70% of patients. […] Dyspnea, or difficulty breathing, affects 40-60% of patients. […] Fatigue, experienced by 50-70% of patients, is often linked to systemic inflammation and the immune response to cardiac injury. […] Joint pain, or arthralgia, occurs in 10-20% of patients. […] Tachycardia, or an abnormally fast heart rate, is observed in 30-50% of patients. […] Edema, or swelling, affects 10-20% of patients, particularly in the lower extremities.
  • #1 Dressler Syndrome (Postmyocardial Infarction Syndrome) – MD Searchlight
    https://mdsearchlight.com/heart-health/dressler-syndrome-postmyocardial-infarction-syndrome/
    Dressler syndrome is a condition that usually appears 1 to 6 weeks after your pericardium, which is a thin sac surrounding your heart, gets damaged. The common symptoms include: Fever, Feeling weak or tired, Chest pain that gets worse with deep breaths, Irritability, Loss of appetite, Faster heart rate, Shortness of breath, with or without low oxygen levels, Joint pain. […] Although patients often have a temperature between 100.4 F and 102.2 F, there have been cases with fever as high as 104 F. Not everyone with Dressler syndrome will look severely sick, and the fever usually goes away within 2 to 3 weeks. […] In some cases, Dressler syndrome might also lead to signs of lung inflammation, such as coughing, decreased oxygen levels, and fever. The severity of these lung-related symptoms can vary a lot, with some patients having no lung complaints while others experience serious respiratory distress due to a large amount of fluid in the lungs.
  • #1 Pericardial and Pleural Effusions After STEMI
    https://www.acc.org/Education-and-Meetings/Patient-Case-Quizzes/2022/03/07/13/30/Pericardial-and-Pleural-Effusions-After-STEMI
    Dr. William Dressler’s initial descriptions of „The Post Myocardial Infarction (MI) Syndrome” in the late 1950s catalogue a prolonged illness characterized by waxing and waning pleuritic chest pain, fevers, and an evanescent friction rub in the weeks following presentation with MI. […] This patient’s presentation with enlarging pericardial and pleural effusions 2 weeks after suffering a STEMI is typical for Dressler syndrome. Indeed, Dr. Dressler’s initial descriptions included patients who developed pleural effusions. The pleural space can be involved in up to 80% of patients with delayed post-infarct pericarditis; typically, these effusions are left-sided, exudative by Light’s criteria, and serosanguineous or hemorrhagic in nature. […] In our patient, no alternative cause was found, so both the pericardial and pleural effusions were caused by Dressler syndrome.
  • #1 Dressler Syndrome | Treatment & Management | Point of Care
    https://www.statpearls.com/point-of-care/20700
    Though most patients tend to present with a temperature between 100.4 F and 102.2 F (measured orally), occasional reports of temperatures as high as 104 F have been noted. Not all patients will appear concomitantly ill, and the fever generally will subside within 2 to 3 weeks. […] On physical examination, patients with Dressler syndrome are often tachycardic with a pericardial friction rub heard on auscultation. This characteristic pericardial friction rub may disappear. This can be secondary to either improvement in or worsening of accumulation of pericardial fluid and, therefore, cannot be used predictively. Additionally, patients may present with pulsus paradoxus (greater than 10 mmHg decrease in blood pressure with inspiration and decreased pulse amplitude palpated on the radial artery).
  • #1 Dressler’s syndrome – wikidoc
    https://www.wikidoc.org/index.php/Dressler%27s_syndrome
    Dressler’s syndrome typically occurs 2 to 10 weeks after a myocardial infarction has occurred. […] The symptoms for Dressler’s syndrome starts mild and then progress to reach the full clinical profile. […] The condition is usually acute; however, some patients may develop chronic pericardial inflammation. […] The prognosis is usually favorable with early treatment. […] Untreated or poorly treated patients may develop cardiac tamponade (acute) or constrictive pericarditis (chronic). […] The complications of Dressler’s syndrome may include: Pericardial effusion may result from the accumulation of fluids as a result of inflammation in the pericardial sac. […] Cardiac tamponade can occur if the accumulation of fluids in the pericardium is large enough and rapid enough. […] Constrictive pericarditis can occur if there is a chronic inflammatory response.
  • #1 Dressler’s Syndrome: Causes, Symptoms and Treatment
    https://my.clevelandclinic.org/health/diseases/17947-dresslers-syndrome
    Total treatment time is typically four to six weeks. Usually, you dont need an overnight stay when you get Dresslers syndrome treatment. […] It may take two to four weeks to recover, but youll need to take medicine for four to six weeks. […] With early diagnosis and treatment, your prognosis is good. However, for 10% to 15% of people, Dresslers syndrome will come back.
  • #1 Dressler Syndrome – StatPearls – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/books/NBK441988/
    The prognosis for patients with Dressler syndrome is typically quite good. Even those patients requiring pericardial drainage usually have a favorable prognosis. Still, they have an increased risk for reaccumulation of fluid and subsequent need for repeat pericardiocentesis and adjustments to medication regimens. If constrictive pericarditis develops, the need for pericardial stripping may become evident.
  • #1 *Dressler Syndrome* What is… – BB Medical EducationFacebookShared with Public
    https://www.facebook.com/bendreajay/posts/dressler-syndromewhat-is-dressler-syndromedressler-syndrome-is-a-type-of-pericar/346051010496067/
    The immune system reaction that causes Dressler syndrome might also lead to fluid buildup in the tissues surrounding your lungs (pleural effusion). […] Rarely, Dressler syndrome can cause more-serious complications, including cardiac tamponade. Inflammation of the pericardium can cause fluids to accumulate in the sac (pericardial effusion). The fluid can put pressure on the heart, forcing it to work harder and reducing its ability to pump blood efficiently. […] Constrictive pericarditis. Recurring or chronic inflammation can cause the pericardium to become thick or scarred. The scarring can reduce the heart’s ability to pump blood efficiently.
  • #1 Dressler Syndrome | Treatment & Management | Point of Care
    https://www.statpearls.com/point-of-care/20700
    Finally, some patients with Dressler syndrome may exhibit signs of pneumonitis (e.g., a cough, decreased oxygen saturation, fever). The pulmonary component to symptoms ranges from minimal with no pulmonary complaints to significant respiratory distress with large pulmonic effusions. […] The prognosis for patients with Dressler syndrome is typically quite good. Even those patients requiring pericardial drainage usually have a favorable prognosis. Still, they have an increased risk for reaccumulation of fluid and subsequent need for repeat pericardiocentesis and adjustments to medication regimens. If constrictive pericarditis develops, the need for pericardial stripping may become evident. […] The most serious potential complication from Dressler syndrome is by far pericardial tamponade leading to a risk of complete cardiovascular collapse. There is often a pericardial effusion with Dressler syndrome, and this fluid build-up around the heart can lead to ineffective relaxation and filling of the atrioventricular system by causing direct pressure and therefore affecting both diastolic filling and systolic squeeze. Classic findings of tamponade include Beck’s triad: low blood pressure, distended neck veins (jugular venous distension), and muffled/distant heart tones.
  • #1 Dressler’s Syndrome – Causes, Diagnosis, and Treatment
    https://doctency.com/dresslers-syndrome/
    The prognosis for individuals with Dresslers syndrome largely depends on several factors: Early intervention significantly improves outcomes; many individuals respond well to treatment within weeks. The presence of additional underlying cardiac conditions can complicate recovery but does not necessarily preclude positive outcomes. Long-term follow-up care is essential for monitoring any ongoing health issues related to cardiovascular function or overall well-being. Most patients experience relief from symptoms with appropriate treatment; however, some may have recurrent episodes requiring continued management.
  • #2 Dressler’s syndrome » Global Autoimmune Institute
    https://www.autoimmuneinstitute.org/autoimmune-resources/autoimmune-diseases-list/dresslers-syndrome/
    Symptoms appear anywhere between one week to one month after a heart attack, surgery, or injury to the chest. Some common symptoms include chest pain, fatigue, difficulty breathing, weakness, or fever. […] Dresslers syndrome is characterized by pericarditis (inflammation of the sac surrounding the heart that occurs after damage to the organ itself or to the pericardium).
  • #2 Dressler Syndrome on the Electrocardiogram
    https://en.my-ekg.com/diseases/dressler-syndrome.html
    Dressler syndrome typically occurs two to eight weeks after STEMI. It is rare in the primary PCI era and is often related to late reperfusion or failed coronary reperfusion, as well as to larger infarct size 2 4. […] Though not a common condition, Dressler syndrome should be considered in all patients presenting with persistent chest pain, malaise or fatigue following a myocardial infarction or cardiac surgery, especially if symptoms present greater than two weeks following the event 3 5. […] Symptoms may be accompanied by fever and increased inflammatory biomarkers. In most cases, the pain is self-limited and responds to conservative measures 5. […] On physical examination, patients with Dressler syndrome are often tachycardic with a pericardial friction rub heard on auscultation. Additionally, patients may present with pulsus paradoxicus 5.
  • #2 Acute Pericarditis: Practice Essentials, Background, Anatomy
    https://emedicine.medscape.com/article/156951-overview
    Chest pain is the cardinal symptom of pericarditis, usually precordial or retrosternal with referral to the trapezius ridge, neck, left shoulder, or arm. Common associated signs and symptoms include low-grade intermittent fever, dyspnea/tachypnea (a frequent complaint and may be severe, with myocarditis, pericarditis, and cardiac tamponade), cough, and dysphagia. […] Dressler syndrome is now considered rare. When pericarditis associated with Dressler syndrome does occur, it is usually observed 2-3 weeks after a myocardial infarction. […] This syndrome may be a unique autoimmune-mediated phenomenon to myocardial antigens, or it may merely be an unrecognized postMI pericarditis. Patients may develop pulmonary infiltrates and large pericardial effusions. […] Because of the risk of hemorrhagic pericarditis, anticoagulant therapy should be stopped in patients with Dressler syndrome.
  • #2 Dressler’s Syndrome: Causes, Symptoms and Treatment
    https://my.clevelandclinic.org/health/diseases/17947-dresslers-syndrome
    Dresslers syndrome usually occurs within one to six weeks after heart surgery or a heart attack, but it can take up to several months for symptoms to develop. […] Symptoms of Dresslers syndrome may include: Fatigue. Weakness. Fever. Chest pain thats worse with breathing or lying down, can be felt in your chest, upper back or left shoulder and can get worse with activity. Difficult or labored breathing (dyspnea). It may be more difficult to breathe when you recline or lie down. Rapid heartbeat (tachycardia) or heart palpitations. Pericardial effusion (fluid buildup between your pericardium and your heart). Painful joints. Less of a desire to eat. […] Rarely, Dresslers syndrome symptoms can be life-threatening. Its important to seek medical treatment if you experience chest pain and have trouble breathing, especially if youve recently been in the hospital for heart issues.
  • #2 Dressler’s Syndrome
    https://www.healio.com/cardiology/learn-the-heart/cardiology-review/topic-reviews/dresslers-syndrome
    Dresslers syndrome (a.k.a. post-myocardial infarction syndrome) is an autoimmune phenomenon that can occur after myocardial infarction and manifests 2-3 weeks later as pericarditis and a pericardial effusion. […] The diagnosis is clinical and based on ECG changes of pericarditis.
  • #2 Dressler’s syndrome – wikidoc
    https://www.wikidoc.org/index.php/Dressler%27s_syndrome
    Dressler’s syndrome typically occurs 2 to 10 weeks after a myocardial infarction has occurred. […] The symptoms for Dressler’s syndrome starts mild and then progress to reach the full clinical profile. […] The condition is usually acute; however, some patients may develop chronic pericardial inflammation. […] The prognosis is usually favorable with early treatment. […] Untreated or poorly treated patients may develop cardiac tamponade (acute) or constrictive pericarditis (chronic). […] The complications of Dressler’s syndrome may include: Pericardial effusion may result from the accumulation of fluids as a result of inflammation in the pericardial sac. […] Cardiac tamponade can occur if the accumulation of fluids in the pericardium is large enough and rapid enough. […] Constrictive pericarditis can occur if there is a chronic inflammatory response.
  • #2 Dressler’s syndrome: Causes, symptoms, and treatments
    https://www.medicalnewstoday.com/articles/dresslers-syndrome
    Dresslers syndrome may cause the following symptoms: weakness and tiredness, fever, chest pain that can worsen when inhaling and improves when leaning forward, irritable mood, low appetite, breathing problems, joint pain. […] These symptoms may develop between 3 to 4 days and 2 to 6 weeks after a heart injury, with some occurring several months later. Dresslers syndrome can be recurrent, meaning that symptoms may relapse or come back following treatment up to 1 year after the original injury. […] If a person feels these symptoms for more than 2 weeks after a heart attack or heart procedure, they need to speak with a doctor.
  • #2 Pericarditis – after heart attack – UF Health
    https://ufhealth.org/conditions-and-treatments/pericarditis-after-heart-attack
    Late pericarditis: This is also called Dressler syndrome. It most often develops several weeks or months after a heart attack, heart surgery, or other trauma to the heart. […] Symptoms include: […] Chest pain from the swollen pericardium rubbing on the heart. The pain may be sharp, tight or crushing and may move to the neck, shoulder, or abdomen. The pain may also be worse when you breathe and go away when you lean forward, stand, or sit up. […] Fever (common with the second type of pericarditis) […] A buildup of fluid in the covering of the heart or space around the lungs (pericardial effusion) is not common after a heart attack. But, it often does occur in some people with Dressler syndrome.
  • #2 Dressler’s Syndrome | Doctor
    https://patient.info/doctor/dresslers-syndrome
    It is characterised by pleuritic chest pain, low-grade fever and pericarditis (autopsy shows localised fibrinous pericarditis), which may be accompanied by pericardial effusion. […] It usually presents one to six weeks after the initial episode of MI, with pain and fever that may suggest further infarction. […] The pain is the main symptom, often in the left shoulder, often pleuritic, and worse on lying down. […] There may be malaise, fever and dyspnoea. […] Rarely, it may cause cardiac tamponade or acute pneumonitis. […] A pericardial friction rub may be heard. The typical sound of pericarditis is described as like the sound of boots walking over fresh snow. […] It can follow a relapsing course but the outcome is usually favourable, depending on the nature and severity of co-existing heart disease. Response to treatment is generally good within two weeks. Follow-up with echocardiogram is advised – for example, at one and three years, due to the risk of pericardial constriction.
  • #2 Dressler’s Syndrome: Understanding the Causes, Symptoms and Treatment
    https://www.clinicianrevision.com/courses/cardiology/lessons/pericardial-disease/topic/dresslers-syndrome/
    Dresslers syndrome is a rare complication that can develop 2-10 weeks post-myocardial infarction or heart surgery. The condition is characterized by chest pain, fever, and an elevated white blood cell count. […] The most common symptom of Dresslers Syndrome is chest pain, which is usually located in the middle or left side of the chest. The pain is often described as a dull, aching pain, and it may be worse when the person is lying down. Other clinical features can include fever, an elevated white blood cell count and pericardial effusion (a build-up of fluid in the pericardium). […] Chest pain is usually sharp and well-localised, relieved by leaning forwards, radiates to the left shoulder, down the arm or into the abdomen, and is pleuritic. […] Signs include pericardial rub, fever, heart failure, pulsus paradoxus (10 mmHg drop in blood pressure on inspiration) in severe cases, and Kussmauls sign (rise of JVP on inspiration) in severe cases.
  • #2 Dressler syndrome – Augusta HealthSearchClose SearchSearch IconSearch IconClose Search IconMobile Menu IconMobile Menu Close IconInstagramFacebookTwitterYoutube
    https://www.augustahealth.com/disease/dressler-syndrome/
    Symptoms are likely to appear weeks to months after a heart attack, surgery or injury to the chest. Symptoms might include: […] Symptoms include chest pain, which may be similar to chest pain experienced during a heart attack. […] Seek emergency care for sudden or persistent chest pain, which may signal a heart attack or other serious disorder.
  • #2 Dressler Syndrome – StatPearls – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/books/NBK441988/
    Dressler syndrome, also known as postmyocardial infarction syndrome, is a form of secondary pericarditis with or without pericardial effusion that occurs as a result of injury to the heart or pericardium. Given its wide-ranging clinical presentation, Dressler syndrome can be difficult for health professionals to recognize. […] Though not a common condition, Dressler syndrome should be considered in all patients presenting with persistent malaise or fatigue following a myocardial infarction (MI) or cardiac surgery, especially if symptoms present greater than two weeks following the event. […] Patients typically present with symptoms of Dressler syndrome 1 to 6 weeks following the initial damage to the pericardium. The most commonly encountered symptoms include fever, malaise/generalized weakness, pleuritic chest pain, irritability, decreased appetite, palpitations/tachycardia, dyspnea (with or without hypoxia), and arthralgias. […] Though most patients tend to present with a temperature between 100.4 F and 102.2 F (measured orally), occasional reports of temperatures as high as 104 F have been noted. Not all patients will appear concomitantly ill, and the fever generally will subside within 2 to 3 weeks.
  • #2 Dressler Syndrome (Postmyocardial Infarction Syndrome) – MD Searchlight
    https://mdsearchlight.com/heart-health/dressler-syndrome-postmyocardial-infarction-syndrome/
    Dressler syndrome is a condition that usually appears 1 to 6 weeks after your pericardium, which is a thin sac surrounding your heart, gets damaged. The common symptoms include: Fever, Feeling weak or tired, Chest pain that gets worse with deep breaths, Irritability, Loss of appetite, Faster heart rate, Shortness of breath, with or without low oxygen levels, Joint pain. […] Although patients often have a temperature between 100.4 F and 102.2 F, there have been cases with fever as high as 104 F. Not everyone with Dressler syndrome will look severely sick, and the fever usually goes away within 2 to 3 weeks. […] In some cases, Dressler syndrome might also lead to signs of lung inflammation, such as coughing, decreased oxygen levels, and fever. The severity of these lung-related symptoms can vary a lot, with some patients having no lung complaints while others experience serious respiratory distress due to a large amount of fluid in the lungs.
  • #2 Understanding Dressler’s Syndrome: Causes, Symptoms & Treatment – The Kingsley Clinic
    https://thekingsleyclinic.com/resources/understanding-dresslers-syndrome-causes-symptoms-treatment/
    Dressler’s syndrome is an inflammatory condition that affects the pericardium and is often triggered by heart trauma. […] Early symptoms of Dressler’s syndrome may include mild chest pain and fatigue, but the condition can worsen if not treated. In severe cases, inflammation can lead to complications such as pericardial effusion or cardiac tamponade, a life-threatening situation where fluid buildup compresses the heart, impairing its ability to pump blood effectively. […] Chest pain is the most common symptom of Dressler’s syndrome, affecting 70-90% of patients. This pain is often sharp or stabbing and tends to worsen with deep breaths, coughing, or lying flat. […] Fever is reported in 60-80% of cases and is part of the body’s inflammatory response to immune-mediated pericardial damage.
  • #2 Understanding Dressler’s Syndrome: Causes, Symptoms & Treatment – The Kingsley Clinic
    https://thekingsleyclinic.com/resources/understanding-dresslers-syndrome-causes-symptoms-treatment/
    Malaise, a general feeling of discomfort and fatigue, affects 50-70% of patients. […] Dyspnea, or difficulty breathing, affects 40-60% of patients. […] Fatigue, experienced by 50-70% of patients, is often linked to systemic inflammation and the immune response to cardiac injury. […] Joint pain, or arthralgia, occurs in 10-20% of patients. […] Tachycardia, or an abnormally fast heart rate, is observed in 30-50% of patients. […] Edema, or swelling, affects 10-20% of patients, particularly in the lower extremities.
  • #2 Dressler’s Syndrome Treatment | Mya Care
    https://myacare.com/procedure/dressler-s-syndrome-treatment
    A characteristic clinical sign of Dressler syndrome is the presence of a pericardial friction rub, which can be heard during a physical examination. This rubbing or scratching sound occurs as the inflamed pericardial layers rub against each other with each heartbeat. […] Excess buildup of fluid in the pericardial sac surrounding the heart (pericardial effusion) compresses the heart chambers. Breathing difficulties may come from this, especially when reclining or resting flat (orthopnea). […] Patients with Dressler syndrome often report a general feeling of unwellness, along with fatigue and weakness. These symptoms are often non-specific but can be indicative of the underlying inflammation. […] Inflammation of the pericardium can lead to significant problems if left untreated. […] Because Dressler’s syndrome symptoms can be fatal, it is critical to seek medical attention if you have chest pain and difficulty breathing, especially if you have previously been hospitalized for cardiac problems.
  • #2 Dressler Syndrome | Treatment & Management | Point of Care
    https://www.statpearls.com/point-of-care/20700
    Finally, some patients with Dressler syndrome may exhibit signs of pneumonitis (e.g., a cough, decreased oxygen saturation, fever). The pulmonary component to symptoms ranges from minimal with no pulmonary complaints to significant respiratory distress with large pulmonic effusions. […] The prognosis for patients with Dressler syndrome is typically quite good. Even those patients requiring pericardial drainage usually have a favorable prognosis. Still, they have an increased risk for reaccumulation of fluid and subsequent need for repeat pericardiocentesis and adjustments to medication regimens. If constrictive pericarditis develops, the need for pericardial stripping may become evident. […] The most serious potential complication from Dressler syndrome is by far pericardial tamponade leading to a risk of complete cardiovascular collapse. There is often a pericardial effusion with Dressler syndrome, and this fluid build-up around the heart can lead to ineffective relaxation and filling of the atrioventricular system by causing direct pressure and therefore affecting both diastolic filling and systolic squeeze. Classic findings of tamponade include Beck’s triad: low blood pressure, distended neck veins (jugular venous distension), and muffled/distant heart tones.
  • #2 LearningRadiology – Postpericardiotomy, Syndrome, Dressler’s
    http://learningradiology.com/archives2011/COW%20464-PPS/ppscorrect.htm
    Symptoms typically appear 2-3 weeks following infarct/surgerysometimes years […] May last for weeks or months […] Pleuritic chest pain (91%) […] Fever […] Pericardial and pleural effusion […] Pericardial friction rub […] Effusions can be bloody and cause tamponade […] Also rales […] Shortness of breath […] Leukocytosis.
  • #2 Pericarditis | Symptoms and Treatment | MedStar Health
    https://www.medstarhealth.org/services/pericarditis
    Pericarditis occurs when this layer becomes swollen or inflamed. It usually develops very quickly and can last for several months. […] The most common symptom of pericarditis is chest pain. You also may experience: Cough or fever, Dependent edema, or swelling in the abdomen and legs, Feeling of overall weakness, Heart palpitations, or the sensation that the heartbeat is skipping, slowing down, or racing, Shortness of breath.
  • #2 Dressler’s Syndrome: Causes, Symptoms and Treatment
    https://my.clevelandclinic.org/health/diseases/17947-dresslers-syndrome
    Total treatment time is typically four to six weeks. Usually, you dont need an overnight stay when you get Dresslers syndrome treatment. […] It may take two to four weeks to recover, but youll need to take medicine for four to six weeks. […] With early diagnosis and treatment, your prognosis is good. However, for 10% to 15% of people, Dresslers syndrome will come back.
  • #2 Pericarditis Guide: Causes, Symptoms and Treatment Options
    https://www.drugs.com/health-guide/pericarditis.html
    Dressler’s syndrome (also called post cardiac surgery or post cardiac injury syndrome). The pericarditis of Dressler’s syndrome can begin within a couple weeks or up to many months after open heart surgery, heart trauma or a heart attack. It is thought that with this syndrome, prior heart injury stimulates the immune system to attack and inflame the pericardium. […] The classic symptoms of acute pericarditis are chest pain and fever. This chest pain can be either brief and sharp or steady and constricting. It is usually under the breastbone, but it also can spread to the neck or shoulders. In many patients, chest pain becomes more severe if they take a deep breath, swallow, cough, or lie down. Sitting up or leaning forward may relieve the pain. […] Patients with cardiac tamponade can have low blood pressure and shortness of breath. Patients with constrictive pericarditis also can have breathing difficulties, together with edema (swelling) of the ankles, legs and abdomen. […] Most people with acute pericarditis recover within 2 to 4 weeks. Recurrence of acute pericarditis occurs in about 20 percent of the people who have unexplained pericarditis.
  • #2 Post-cardiac injury syndrome: aetiology, diagnosis, and treatment
    https://www.escardio.org/Journals/E-Journal-of-Cardiology-Practice/Volume-15/Post-cardiac-injury-syndrome-aetiology-diagnosis-and-treatment
    Post-myocardial infarction pericarditis can be differentiated into early infarct-associated pericarditis and late post-myocardial infarction pericarditis, also known as Dresslers syndrome. […] Dresslers syndrome, on the other hand, occurs two to eight weeks after infarction and is also very rare nowadays in clinical settings. […] Importantly, and in marked contrast to early infarct-associated pericarditis, Dresslers syndrome implies a relevant risk of recurrence. […] Recurrence of PCIS has been reported to be lower than recurrences of idiopathic pericarditis, ranging between 10% and 15%. In contrast to idiopathic pericarditis, however, the risk of pericardial constriction is substantial for PCIS, approximating 2.8% over 72 months. Therefore, affected patients need long-term follow-up.
  • #2 Dressler’s Syndrome Treatment | Mya Care
    https://myacare.com/procedure/dressler-s-syndrome-treatment
    Chronic cardiac inflammation can also result in constrictive pericarditis. This occurs when the pericardium thickens or scars due to chronic inflammation. […] Complications from Dressler’s syndrome might be fatal in rare cases. As a result, it is critical to seek immediate diagnosis and treatment. […] Constrictive pericarditis is a disorder in which the pericardium stiffens and thickens. This affects your heart’s ability to pump blood and can cause serious problems, including heart failure. […] Cardiac Tamponade occurs when the fluid sac surrounding your heart becomes overfilled with blood or other fluid, putting pressure on your heart. This stops your heart’s chambers from filling adequately.
  • #2 Dressler’s syndrome – wikidoc
    https://www.wikidoc.org/index.php/Dressler%27s_syndrome
    The prognosis for patients with Dressler’s syndrome is usually favorable, even those requiring pericardial drainage. […] However, the latter patients have a higher risk for fluid reaccumulation and repeat pericardiocentesis. […] Otherwise, constrictive pericarditis would occur leading to the need for pericardial stripping.
  • #2 Dressler Syndrome (Postmyocardial Infarction Syndrome) – MD Searchlight
    https://mdsearchlight.com/heart-health/dressler-syndrome-postmyocardial-infarction-syndrome/
    The outlook for patients with Dressler syndrome is usually very positive. Even those who need a procedure to drain fluid from the heart lining typically have a good recovery rate. However, there’s an increased chance that the fluid will build up again, possibly leading to another draining procedure and changes to their medication plans. If a condition called constrictive pericarditis develops, which causes the heart lining to become stiff and thickened, they might need a procedure to remove this lining.
  • #2 Dressler syndrome: a literature review | Journal of MEDICAL SCIENCES
    https://medicsciences.com/dressler-syndrome-a-literature-review/
    Dressler syndrome (DS) occurs as a result of injury to the heart or pericardium, usually 1 to 6 weeks after a myocardial infarction. […] Clinical DS symptoms are fever, pleuritic chest pain, and fluid in pericardial and/or pleural space (pericardial rub and murmurs may be heard). […] DS can be diagnosed if two of the five diagnostic criteria are present (fever without other alternative causes, pericardial or pleural pain, pericardial or pleural effusion, fluid in pericardium or pleura, and/or increased C-reactive protein). […] DS has favorable prognosis if diagnosed in time, but there is a possibility of recurrence of the syndrome (colchicine is an approved medication for prevention).
  • #2 Dressler Syndrome – DoveMed
    https://www.dovemed.com/diseases-conditions/dressler-syndrome
    Dressler Syndrome can lead to signs and symptoms that include chest pain, breathing difficulties, and fatigue. If left untreated, it can cause complications that include pulmonary edema, cardiac tamponade, and shock […] The signs and symptoms of Dressler Syndrome include, but are not limited to, the following: Low-grade fever, chills, sweating […] Chest pain; pain in chest increases on coughing or swallowing […] Difficulty breathing, which gets worse especially while reclining or lying down, but gets better on sitting, leaning forward or standing […] The signs and symptoms may be observed 2-3 weeks after the heart attack (or chest trauma). In some cases though, it may develop after many months. […] Dressler Syndrome can lead to life-threatening symptoms, if the condition is left untreated. The prognosis also depends on the severity of the signs and symptoms of the underlying condition […] If the condition is diagnosed early and treated effectively, the affected individuals typically make a full recovery.
  • #2 Dressler’s Syndrome – Causes, Diagnosis, and Treatment
    https://doctency.com/dresslers-syndrome/
    The prognosis for individuals with Dresslers syndrome largely depends on several factors: Early intervention significantly improves outcomes; many individuals respond well to treatment within weeks. The presence of additional underlying cardiac conditions can complicate recovery but does not necessarily preclude positive outcomes. Long-term follow-up care is essential for monitoring any ongoing health issues related to cardiovascular function or overall well-being. Most patients experience relief from symptoms with appropriate treatment; however, some may have recurrent episodes requiring continued management.
  • #2 *Dressler Syndrome* What is… – BB Medical EducationFacebookShared with Public
    https://www.facebook.com/bendreajay/posts/dressler-syndromewhat-is-dressler-syndromedressler-syndrome-is-a-type-of-pericar/346051010496067/
    Dressler syndrome is a type of pericarditis, which is the inflammation of the sac around the heart (pericardium). […] If left untreated, inflammation of the pericardium can lead to scarring, thickening, and muscle tightening of the heart, which can be life-threatening. […] Various symptoms are associated with the syndrome. They may include fatigue, weakness, fever, chest pain (worse with breathing or lying down, can be felt in the chest, upper back or left shoulder, can be made worse by activity), difficult or labored breathing (dyspnea). It may be more difficult to breathe when reclining or lying down, rapid heartbeat (tachycardia) or heart palpitations, pericardial effusion (fluid buildup between pericardium and the heart itself). […] Rarely, symptoms can be life-threatening, so it is important to seek medical attention and treatment if you experience chest pain and have trouble breathing, especially if you have had a recent admission for heart attack (myocardial infarction), heart surgery, heart procedure, or chest trauma due to an accident or injury.
  • #3 Dressler syndrome – Wikipedia
    https://en.wikipedia.org/wiki/Dressler_syndrome
    Dressler syndrome is a secondary form of pericarditis that occurs in the setting of injury to the heart or the pericardium (the outer lining of the heart). It consists of fever, pleuritic pain, pericarditis and/or pericardial effusion. […] The disease consists of persistent low-grade fever, chest pain (usually pleuritic), pericarditis (usually evidenced by a pericardial friction rub, chest pain worsening when recumbent, and diffuse ST elevation with PR segment depression), and/or pericardial effusion. The symptoms tend to occur 2-3 weeks after myocardial infarction but can also be delayed a few months. It tends to subside in a few days, and very rarely leads to pericardial tamponade. Elevated ESR is an objective but nonspecific laboratory finding.
  • #3 Post-myocardial infarction (Dressler’s) syndrome following early reperfusion – The British Journal of Cardiology
    https://bjcardio.co.uk/2012/05/post-myocardial-infarction-dresslers-syndrome-following-early-reperfusion/
    We present a case of a 55-year-old female with a successfully reperfused myocardial infarction in whom Dresslers syndrome was subsequently diagnosed. […] Dresslers, or post-cardiac injury, syndrome is a well-recognised complication of myocardial infarction; however, following the introduction of thrombolysis and cardiac catheterisation its continued existence in the era of reperfusion has been questioned. […] This demonstrates that despite the advances in medical care Dresslers syndrome continues to exist and should be considered in the differential of anyone presenting with chest pain in the setting of a recent myocardial infarction. […] One week following her discharge, she returned to the ER complaining of sharp non-exertional chest pain and dyspnoea persisting for one day. […] She was noted to have bilateral inspiratory rales and was hypoxic on room air.
  • #3 Post-cardiac injury syndrome: aetiology, diagnosis, and treatment
    https://www.escardio.org/Journals/E-Journal-of-Cardiology-Practice/Volume-15/Post-cardiac-injury-syndrome-aetiology-diagnosis-and-treatment
    Post-myocardial infarction pericarditis can be differentiated into early infarct-associated pericarditis and late post-myocardial infarction pericarditis, also known as Dresslers syndrome. […] Dresslers syndrome, on the other hand, occurs two to eight weeks after infarction and is also very rare nowadays in clinical settings. […] Importantly, and in marked contrast to early infarct-associated pericarditis, Dresslers syndrome implies a relevant risk of recurrence. […] Recurrence of PCIS has been reported to be lower than recurrences of idiopathic pericarditis, ranging between 10% and 15%. In contrast to idiopathic pericarditis, however, the risk of pericardial constriction is substantial for PCIS, approximating 2.8% over 72 months. Therefore, affected patients need long-term follow-up.
  • #3 Pericarditis – after heart attack: MedlinePlus Medical EncyclopediaLock
    https://medlineplus.gov/ency/article/000166.htm
    Late pericarditis: This is also called Dressler syndrome. It most often develops several weeks or months after a heart attack, heart surgery, or other trauma to the heart. […] Symptoms include: […] Chest pain from the swollen pericardium rubbing on the heart. The pain may be sharp, tight or crushing and may move to the neck, shoulder, or abdomen. The pain may also be worse when you breathe and go away when you lean forward, stand, or sit up. […] Fast heart rate (tachycardia) […] Fever (common with the second type of pericarditis) […] The condition may recur in some cases.
  • #3 Post-cardiac injury syndrome in the Emergency Department: mini-review
    https://www.immunologyresearchjournal.com/articles/postcardiac-injury-syndrome-in-the-emergency-department-minireview.html
    Patients who develop PCIS present with signs and symptoms similar to those seen in acute pericarditis and/or pericardial effusion in other clinical settings. […] The main features of the post-cardiac injury syndrome include: […] Signs and symptoms: a review by Imazio et al. reported that the main clinical findings include pleuritic chest pain (56%) and fever (54%); leucocytosis and other markers of inflammation (74%) (e.g., elevated erythrocyte sedimentation rate, elevated C-reactive protein); electrocardiographic changes (24%), classically diffuse ST-segment elevation in association with PR depression, although often absent or masked by other electrocardiogram findings; pericardial (89%) and sometimes pleural effusion (with or without a pulmonary infiltrate), pericardial rub (32%), cardiac tamponade (2%). […] The prognosis of the PCIS is relatively good for most patients; however, 10 to 15% of cases will experience a recurrence.
  • #3 Dressler syndrome – Augusta HealthSearchClose SearchSearch IconSearch IconClose Search IconMobile Menu IconMobile Menu Close IconInstagramFacebookTwitterYoutube
    https://www.augustahealth.com/disease/dressler-syndrome/
    Symptoms are likely to appear weeks to months after a heart attack, surgery or injury to the chest. Symptoms might include: […] Symptoms include chest pain, which may be similar to chest pain experienced during a heart attack. […] Seek emergency care for sudden or persistent chest pain, which may signal a heart attack or other serious disorder.