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Dressler syndrome

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197:, though once used to treat Dressler syndrome, are less advocated and should be avoided in patients with ischemic heart disease. One NSAID in particular, indomethacin, can inhibit new collagen deposition, thus impairing the healing process for the infarcted region. Other NSAIDS should be used only in cases refractory to aspirin. Heparin should be avoided because it can lead to hemorrhage into the pericardial sac, leading to tamponade. The only time heparin could be used with pericarditis is with coexisting acute MI, in order to prevent further thrombus formation. 46: 180:
Dressler syndrome needs to be differentiated from pulmonary embolism, another identifiable cause of pleuritic (and non-pleuritic) chest pain in people who have been hospitalized and/or undergone surgical procedures within the preceding weeks. ischaemic heart disease.
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can be used but are not preferred (avoided) in the first month due to the high frequency of impaired ventricular healing leading to an increased rate of ventricular rupture. Other
131:. 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 127:), pericarditis (usually evidenced by a pericardial friction rub, chest pain worsening when recumbent, and diffuse ST elevation with PR segment depression), and/or 1282: 17: 399:
Dressler, L. A. (1854). "Ein Fall von intermittierender Albuminurie und Chromaturie" [A case of intermittent albuminuria and chromaturia].
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Krainin F, Flessas A, Spodick D (1984). "Infarction-associated pericarditis. Rarity of diagnostic electrocardiogram".
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Dressler syndrome was historically a phenomenon complicating about 7% of myocardial infarctions, but in the era of
1181: 962: 85: 70:(the outer lining of the heart). It consists of fever, pleuritic pain, pericarditis and/or pericardial effusion. 1257: 1252: 1176: 136: 1603: 1479: 1408: 1240: 976: 1598: 1391: 1374: 1307: 1227: 606: 1441: 886: 1423: 911: 896: 970: 1501: 1198: 1166: 1093: 820: 89: 347:
Dressler W (January 1959). "The post-myocardial-infarction syndrome: a report on forty-four cases".
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Hertzeanu, H; Almog, C; Algom, M (1983). "Cardiac tamponade in Dressler's syndrome. Case report".
1658: 1632: 1620: 1608: 1593: 1327: 1269: 1073: 1054: 706: 646: 599: 164: 159:. Similar pericarditis can be associated with any pericardiotomy or trauma to the pericardium or 1247: 1213: 1156: 1134: 956: 938: 874: 741: 694: 622: 1011: 1006: 901: 816: 711: 497: 156: 1507: 1035: 1016: 916: 827: 770: 128: 8: 1512: 1369: 1364: 1287: 1191: 1161: 1120: 746: 663: 563: 360: 1615: 1413: 1235: 1186: 811: 758: 668: 324: 299: 240: 215: 568: 1675: 1526: 1484: 1399: 1217: 1115: 832: 673: 574: 505: 478: 443: 364: 329: 280: 245: 132: 34: 1648: 1540: 1433: 1129: 470: 435: 412: 408: 356: 319: 311: 272: 235: 227: 189:
Dressler syndrome is best treated with high-dose aspirin. In some resistant cases,
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Archiv fĂĽr Pathologische Anatomie und Physiologie und fĂĽr Klinische Medicin
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Bendjelid K, Pugin J (November 2004). "Is Dressler syndrome dead?".
115:, it is very uncommon. The disease consists of persistent low-grade 1474: 631: 152: 1554: 1534: 689: 548: 116: 63: 460: 300:"Dressler's syndrome after right ventricular infarction" 298:
Streifler J, Pitlik S, Dux S, et al. (April 1984).
504:(3rd ed.). New York: McGraw-Hill. pp. 51–72. 95:
It should not be confused with Dressler's syndrome of
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is an objective but nonspecific laboratory finding.
621: 297: 1688: 262: 607: 502:CURRENT Diagnosis & Treatment: Cardiology 62:that occurs in the setting of injury to the 340: 256: 77:and the term is sometimes used to refer to 924:Arrhythmogenic right ventricular dysplasia 614: 600: 495: 346: 291: 213: 207: 44: 323: 239: 175: 398: 151:inflammatory reaction to myocardial neo- 1689: 658:Spontaneous coronary artery dissection 595: 982:Nonbacterial thrombotic endocarditis 361:10.1001/archinte.1959.00270010034006 73:Dressler syndrome is also known as 13: 1278:Accelerated idioventricular rhythm 113:percutaneous coronary intervention 75:postmyocardial infarction syndrome 14: 1708: 522: 500:. In Crawford, Michael H. (ed.). 147:It is believed to result from an 103:, who characterized it in 1854. 79:post-pericardiotomy pericarditis 963:Subacute bacterial endocarditis 214:Hutchcroft, B J (1 July 1972). 106: 489: 454: 419: 392: 375: 84:It was first characterized by 1: 1697:Syndromes affecting the heart 1480:Pulseless electrical activity 1409:Multifocal atrial tachycardia 1283:Catecholaminergic polymorphic 498:"Acute Myocardial Infarction" 496:Jaffe, AS; Boyle, AJ (2009). 200: 184: 170: 7: 440:10.1056/NEJM198411083111903 10: 1713: 1424:Wandering atrial pacemaker 971:non-infective endocarditis 912:Endocardial fibroelastosis 155:formed as a result of the 15: 1641: 1584: 1502:hexaxial reference system 1493: 1460: 1447:Jervell and Lange-Nielsen 1432: 1390: 1349: 1326: 1300: 1268: 1226: 1207: 1106: 1092: 992: 977:Libman–Sacks endocarditis 946: 932: 848: 797: 790: 727: 682: 639: 630: 530: 142: 90:Maimonides Medical Center 33: 28: 1382:Ventricular fibrillation 653:Coronary artery aneurysm 277:10.1378/chest.126.5.1680 16:Not to be confused with 1659:Diastolic heart failure 1633:Athletic heart syndrome 1594:Ventricular hypertrophy 1328:Pre-excitation syndrome 1182:Left posterior fascicle 707:Acute coronary syndrome 647:Coronary artery disease 413:2027/hvd.32044093329910 316:10.1136/pgmj.60.702.298 232:10.1136/bmj.3.5817.49-a 165:postcardiotomy syndrome 58:is a secondary form of 1177:Left anterior fascicle 957:infective endocarditis 742:Hibernating myocardium 623:Cardiovascular disease 176:Differential diagnosis 1341:Wolff–Parkinson–White 1301:Premature contraction 1199:Adams–Stokes syndrome 902:Loeffler endocarditis 712:Myocardial infarction 216:"Dressler's syndrome" 133:pericardial tamponade 1508:Right axis deviation 1470:Sudden cardiac death 828:Pericardial effusion 771:Ventricular aneurysm 129:pericardial effusion 1513:Left axis deviation 1370:Atrial fibrillation 1365:Ventricular flutter 1288:Torsades de pointes 1162:Bundle branch block 1121:Sick sinus syndrome 907:Cardiac amyloidosis 892:Tachycardia-induced 747:Myocardial stunning 695:Prinzmetal's angina 664:Coronary thrombosis 163:which is called a 1616:Atrial enlargement 1414:Pacemaker syndrome 1336:Lown–Ganong–Levine 1258:Junctional ectopic 1253:AV nodal reentrant 759:Myocardial rupture 669:Coronary vasospasm 1684: 1683: 1676:Obstructive shock 1580: 1579: 1527:Short QT syndrome 1494:Other / ungrouped 1485:Sinoatrial arrest 1400:Ectopic pacemaker 1296: 1295: 1116:Sinus bradycardia 1088: 1087: 1084: 1083: 833:Cardiac tamponade 786: 785: 776:Dressler syndrome 674:Myocardial bridge 589: 588: 511:978-0-07-170199-0 475:10.1159/000173566 56:Dressler syndrome 53: 52: 29:Dressler syndrome 23:Medical condition 1704: 1649:Cardiac fibrosis 1541:T wave alternans 1434:Long QT syndrome 1228:Supraventricular 1224: 1223: 1157:Intraventricular 1104: 1103: 944: 943: 795: 794: 640:Coronary disease 637: 636: 616: 609: 602: 593: 592: 528: 527: 516: 515: 493: 487: 486: 458: 452: 451: 423: 417: 416: 396: 390: 379: 373: 372: 344: 338: 337: 327: 310:(702): 298–300. 295: 289: 288: 260: 254: 253: 243: 211: 86:William Dressler 49: 48: 26: 25: 1712: 1711: 1707: 1706: 1705: 1703: 1702: 1701: 1687: 1686: 1685: 1680: 1671:Rheumatic fever 1637: 1576: 1489: 1456: 1428: 1386: 1345: 1322: 1292: 1264: 1211: 1203: 1097: 1080: 988: 937: 928: 844: 838:Hemopericardium 782: 723: 717:Unstable angina 690:Angina pectoris 683:Active ischemia 678: 626: 620: 590: 585: 584: 539: 525: 520: 519: 512: 494: 490: 459: 455: 424: 420: 397: 393: 380: 376: 349:Arch Intern Med 345: 341: 296: 292: 261: 257: 212: 208: 203: 191:corticosteroids 187: 178: 173: 145: 109: 97:haemoglobinuria 43: 24: 21: 12: 11: 5: 1710: 1700: 1699: 1682: 1681: 1679: 1678: 1673: 1668: 1667: 1666: 1664:Cardiac asthma 1661: 1651: 1645: 1643: 1639: 1638: 1636: 1635: 1630: 1629: 1628: 1623: 1613: 1612: 1611: 1606: 1601: 1590: 1588: 1582: 1581: 1578: 1577: 1575: 1574: 1572:Strain pattern 1569: 1568: 1567: 1562: 1557: 1545: 1544: 1543: 1531: 1530: 1529: 1517: 1516: 1515: 1510: 1497: 1495: 1491: 1490: 1488: 1487: 1482: 1477: 1472: 1466: 1464: 1462:Cardiac arrest 1458: 1457: 1455: 1454: 1449: 1444: 1442:Andersen–Tawil 1438: 1436: 1430: 1429: 1427: 1426: 1421: 1416: 1411: 1406: 1396: 1394: 1388: 1387: 1385: 1384: 1379: 1378: 1377: 1367: 1362: 1360:Atrial flutter 1356: 1354: 1347: 1346: 1344: 1343: 1338: 1332: 1330: 1324: 1323: 1321: 1320: 1315: 1310: 1304: 1302: 1298: 1297: 1294: 1293: 1291: 1290: 1285: 1280: 1274: 1272: 1266: 1265: 1263: 1262: 1261: 1260: 1255: 1245: 1244: 1243: 1232: 1230: 1221: 1205: 1204: 1202: 1201: 1196: 1195: 1194: 1189: 1184: 1179: 1174: 1169: 1159: 1154: 1153: 1152: 1147: 1142: 1132: 1123: 1118: 1112: 1110: 1101: 1090: 1089: 1086: 1085: 1082: 1081: 1079: 1078: 1077: 1076: 1071: 1059: 1058: 1057: 1052: 1040: 1039: 1038: 1033: 1021: 1020: 1019: 1014: 1009: 996: 994: 990: 989: 987: 986: 985: 984: 979: 967: 966: 965: 952: 950: 941: 930: 929: 927: 926: 921: 920: 919: 914: 909: 904: 899: 894: 889: 884: 883: 882: 870:Cardiomyopathy 867: 866: 865: 863:Chagas disease 854: 852: 846: 845: 843: 842: 841: 840: 835: 825: 824: 823: 814: 803: 801: 792: 788: 787: 784: 783: 781: 780: 779: 778: 773: 763: 762: 761: 751: 750: 749: 744: 733: 731: 725: 724: 722: 721: 720: 719: 714: 704: 703: 702: 697: 686: 684: 680: 679: 677: 676: 671: 666: 661: 655: 650: 643: 641: 634: 628: 627: 619: 618: 611: 604: 596: 587: 586: 583: 582: 571: 556: 540: 535: 534: 532: 531:Classification 524: 523:External links 521: 518: 517: 510: 488: 453: 434:(19): 1211–4. 418: 391: 374: 339: 304:Postgrad Med J 290: 255: 226:(5817): 49–9. 205: 204: 202: 199: 186: 183: 177: 174: 172: 169: 144: 141: 108: 105: 101:Lucas Dressler 51: 50: 37: 31: 30: 22: 18:DRESS Syndrome 9: 6: 4: 3: 2: 1709: 1698: 1695: 1694: 1692: 1677: 1674: 1672: 1669: 1665: 1662: 1660: 1657: 1656: 1655: 1654:Heart failure 1652: 1650: 1647: 1646: 1644: 1640: 1634: 1631: 1627: 1624: 1622: 1619: 1618: 1617: 1614: 1610: 1607: 1605: 1602: 1600: 1597: 1596: 1595: 1592: 1591: 1589: 1587: 1583: 1573: 1570: 1566: 1565:ST depression 1563: 1561: 1558: 1556: 1553: 1552: 1551: 1550: 1546: 1542: 1539: 1538: 1537: 1536: 1532: 1528: 1525: 1524: 1523: 1522: 1518: 1514: 1511: 1509: 1506: 1505: 1504: 1503: 1499: 1498: 1496: 1492: 1486: 1483: 1481: 1478: 1476: 1473: 1471: 1468: 1467: 1465: 1463: 1459: 1453: 1450: 1448: 1445: 1443: 1440: 1439: 1437: 1435: 1431: 1425: 1422: 1420: 1417: 1415: 1412: 1410: 1407: 1405: 1401: 1398: 1397: 1395: 1393: 1389: 1383: 1380: 1376: 1373: 1372: 1371: 1368: 1366: 1363: 1361: 1358: 1357: 1355: 1353: 1348: 1342: 1339: 1337: 1334: 1333: 1331: 1329: 1325: 1319: 1316: 1314: 1311: 1309: 1306: 1305: 1303: 1299: 1289: 1286: 1284: 1281: 1279: 1276: 1275: 1273: 1271: 1267: 1259: 1256: 1254: 1251: 1250: 1249: 1246: 1242: 1239: 1238: 1237: 1234: 1233: 1231: 1229: 1225: 1222: 1219: 1215: 1210: 1206: 1200: 1197: 1193: 1192:Trifascicular 1190: 1188: 1185: 1183: 1180: 1178: 1175: 1173: 1170: 1168: 1165: 1164: 1163: 1160: 1158: 1155: 1151: 1148: 1146: 1143: 1141: 1138: 1137: 1136: 1133: 1131: 1127: 1124: 1122: 1119: 1117: 1114: 1113: 1111: 1109: 1105: 1102: 1100: 1095: 1091: 1075: 1074:regurgitation 1072: 1070: 1067: 1066: 1065: 1064: 1060: 1056: 1055:regurgitation 1053: 1051: 1048: 1047: 1046: 1045: 1041: 1037: 1036:regurgitation 1034: 1032: 1029: 1028: 1027: 1026: 1022: 1018: 1017:regurgitation 1015: 1013: 1010: 1008: 1005: 1004: 1003: 1002: 998: 997: 995: 991: 983: 980: 978: 975: 974: 973: 972: 968: 964: 961: 960: 959: 958: 954: 953: 951: 949: 945: 942: 940: 935: 931: 925: 922: 918: 915: 913: 910: 908: 905: 903: 900: 898: 895: 893: 890: 888: 885: 881: 878: 877: 876: 873: 872: 871: 868: 864: 861: 860: 859: 856: 855: 853: 851: 847: 839: 836: 834: 831: 830: 829: 826: 822: 818: 815: 813: 810: 809: 808: 805: 804: 802: 800: 796: 793: 789: 777: 774: 772: 769: 768: 767: 764: 760: 757: 756: 755: 752: 748: 745: 743: 740: 739: 738: 735: 734: 732: 730: 726: 718: 715: 713: 710: 709: 708: 705: 701: 700:Stable angina 698: 696: 693: 692: 691: 688: 687: 685: 681: 675: 672: 670: 667: 665: 662: 659: 656: 654: 651: 648: 645: 644: 642: 638: 635: 633: 629: 624: 617: 612: 610: 605: 603: 598: 597: 594: 581: 577: 576: 572: 570: 566: 565: 561: 557: 555: 551: 550: 546: 542: 541: 538: 533: 529: 513: 507: 503: 499: 492: 484: 480: 476: 472: 468: 464: 457: 449: 445: 441: 437: 433: 429: 422: 414: 410: 406: 403:(in German). 402: 395: 389: 388:Who Named It? 385: 384: 378: 370: 366: 362: 358: 354: 350: 343: 335: 331: 326: 321: 317: 313: 309: 305: 301: 294: 286: 282: 278: 274: 271:(5): 1680–2. 270: 266: 259: 251: 247: 242: 237: 233: 229: 225: 221: 217: 210: 206: 198: 196: 192: 182: 168: 166: 162: 161:heart surgery 158: 154: 150: 140: 138: 135:. Elevated 134: 130: 126: 122: 118: 114: 104: 102: 98: 93: 91: 87: 82: 80: 76: 71: 69: 65: 61: 57: 47: 41: 38: 36: 32: 27: 19: 1586:Cardiomegaly 1560:ST elevation 1547: 1533: 1519: 1500: 1404:Ectopic beat 1352:fibrillation 1187:Bifascicular 1061: 1042: 1023: 999: 969: 955: 948:Endocarditis 887:Hypertrophic 821:Constrictive 807:Pericarditis 775: 765: 753: 736: 573: 558: 543: 501: 491: 466: 462: 456: 431: 428:N Engl J Med 427: 421: 404: 400: 394: 381: 377: 355:(1): 28–42. 352: 348: 342: 307: 303: 293: 268: 264: 258: 223: 219: 209: 188: 179: 146: 110: 107:Presentation 94: 83: 78: 74: 72: 60:pericarditis 55: 54: 1452:Romano–Ward 1419:Parasystole 1318:Ventricular 1270:Ventricular 1209:Tachycardia 1126:Heart block 1108:Bradycardia 934:Endocardium 897:Restrictive 858:Myocarditis 799:Pericardium 469:(1): 31–6. 68:pericardium 1350:Flutter / 1313:Junctional 1248:Junctional 1241:Multifocal 1214:paroxysmal 1130:Sinoatrial 1099:arrhythmia 1094:Conduction 850:Myocardium 575:DiseasesDB 463:Cardiology 201:References 149:autoimmune 121:chest pain 99:named for 40:Cardiology 1609:Pulmonary 1392:Pacemaker 1063:pulmonary 1044:tricuspid 880:Alcoholic 407:: 264–6. 383:synd/3982 185:Treatment 171:Diagnosis 125:pleuritic 123:(usually 92:in 1956. 35:Specialty 1691:Category 1475:Asystole 1375:Familial 1069:stenosis 1050:stenosis 1031:stenosis 1012:stenosis 1007:prolapse 729:Sequelae 632:Ischemia 369:13605300 285:15539743 153:antigens 875:Dilated 817:Chronic 625:(heart) 483:6850684 448:6493274 334:6728756 325:2417818 250:5039567 241:1788531 66:or the 1555:J wave 1308:Atrial 1236:Atrial 1025:aortic 1001:mitral 993:Valves 939:valves 791:Layers 660:(SCAD) 508:  481:  446:  367:  332:  322:  283:  248:  238:  195:NSAIDs 143:Causes 42:  1642:Other 1626:Right 1604:Right 1218:sinus 1167:Right 917:Viral 812:Acute 766:weeks 737:hours 649:(CAD) 569:411.0 554:I24.1 265:Chest 117:fever 64:heart 1621:Left 1599:Left 1216:and 1172:Left 754:days 580:3947 564:9-CM 506:ISBN 479:PMID 444:PMID 365:PMID 330:PMID 281:PMID 246:PMID 560:ICD 545:ICD 471:doi 436:doi 432:311 409:hdl 386:at 357:doi 353:103 320:PMC 312:doi 273:doi 269:126 236:PMC 228:doi 220:BMJ 137:ESR 88:at 1693:: 1549:ST 1521:QT 1402:/ 1150:3° 1145:2° 1140:1° 1135:AV 1128:: 819:/ 578:: 567:: 552:: 549:10 477:. 467:70 465:. 442:. 430:. 363:. 351:. 328:. 318:. 308:60 306:. 302:. 279:. 267:. 244:. 234:. 222:. 218:. 167:. 157:MI 119:, 81:. 1535:T 1220:) 1212:( 1096:/ 936:/ 615:e 608:t 601:v 562:- 547:- 537:D 514:. 485:. 473:: 450:. 438:: 415:. 411:: 405:6 371:. 359:: 336:. 314:: 287:. 275:: 252:. 230:: 224:3 20:.

Index

DRESS Syndrome
Specialty
Cardiology
Edit this on Wikidata
pericarditis
heart
pericardium
William Dressler
Maimonides Medical Center
haemoglobinuria
Lucas Dressler
percutaneous coronary intervention
fever
chest pain
pleuritic
pericardial effusion
pericardial tamponade
ESR
autoimmune
antigens
MI
heart surgery
postcardiotomy syndrome
corticosteroids
NSAIDs
"Dressler's syndrome"
doi
10.1136/bmj.3.5817.49-a
PMC
1788531

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