Dressler's syndrome (patient information)
Dressler's syndrome |
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
What are the symptoms of Dressler's syndrome?
- Anxiety
- Chest pain
- May come and go (recur)
- Pain may be sharp and stabbing (pleuritic) or tight and crushing (ischemic)
- Pain may get worse when breathing and may go away when you stand or sit up
- Pain moves to the neck, shoulder, back, or abdomen
- Difficulty breathing
- Dry cough
- Fast heart rate (tachycardia)
- Fatigue
- Fever (more common with the second type of pericarditis)
- Malaise (general ill feeling)
- Splinting of ribs (bending over or holding the chest) with deep breathing
What causes Dressler's syndrome?
Two types of pericarditis can occur after a heart attack.
The first type of pericarditis most often occurs within 2 to 5 days after a heart attack. When the body tries to clean up the diseased heart tissue, swelling and inflammation occur.
The second type of pericarditis is also called Dressler's syndrome (or post-cardiac injury syndrome or postcardiotomy pericarditis). It occurs several weeks or months after a heart attack, heart surgery, or other trauma to the heart. Dressler's syndrome is believed to be caused by the immune system attacking the area.
Pain occurs when the pericardium becomes inflamed (swollen) and rubs on the heart.
You have a higher risk of pericarditis if you have had a previous heart attack, open heart surgery, or chest trauma, or if your heat attack affected the thickness of your heart muscle.
Who is at highest risk?
When to seek urgent medical care?
Diagnosis
Treatment options
Where to find medical care for Dressler's syndrome?
What to expect (Outlook/Prognosis)?
Possible complications
Prevention
Sources
http://www.nlm.nih.gov/medlineplus/ency/article/000182.htm Template:WH Template:WS