Dressler Syndrome: A Case Report
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Citações na Scopus
1
Tipo de produção
article
Data de publicação
2016
Editora
KOWSAR PUBL
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ISSN da Revista
Título do Volume
Autores
SILVA, Pedro Gabriel Melo de Barros e
SAMPAIO, Marcio Campos
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Citação
IRANIAN RED CRESCENT MEDICAL JOURNAL, v.18, n.11, article ID e28697, 4p, 2016
Resumo
Introduction: Dressler Syndrome should be considered in the differential diagnosis of chest pain, especially in patients who are in a late stage of the evolution of the ischemic process. Case Presentation: A 46-year-old male was admitted to the emergency department due to pleuritic chest pain. Two weeks before this admission, he presented with a typical angina episode, likely an ST segment elevation myocardial infarction (STEMI), and did not receive reperfusion therapy or any medical care. The patient's electrocardiogram showed diffuse ST segment elevation and PR segment depression, and his blood tests showed positive myocardial necrosis markers. A coronary angiography showed a proximal occlusion (not recanalized) of the circumflex artery. There was a late gadolinium enhancement area seen through cardiac magnetic resonance imaging (CMR), suggestive of recent transmural infarction, pericardial injury, and pleural effusion (inflammatory). Conclusions: These findings strongly suggest the diagnosis of delayed post-infarction pericarditis, or Dressler Syndrome, a rare disease in the age of reperfusion therapy. Although rare, it is a syndrome that must be considered in the differential diagnosis of chest pain.
Palavras-chave
Chest Pain, Myocardial Infarction, Pericarditis, Dressler Syndrome
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