dressler syndrome: a case report

نویسندگان

thiago andrade macedo cardiology division, heart institute (incor), medical school of university of sao paulo (fmusp), sao paulo, brazil; cardiology division, heart institute (incor), av dr eneas carvalho de aguiar, 44, zip code: 05403-904, sao paulo, brazil. tel: +55-1135677586, fax: +55-1126615948

roberto nery dantas junior cardiovascular mri and ct division, heart institute (incor), medical school, university of sao paulo (fmusp), sao paulo, brazil

pedro gabriel melo de barros e silva cardiology division, heart institute (incor), medical school of university of sao paulo (fmusp), sao paulo, brazil

marcio campos sampaio cardiovascular mri and ct division, institute dante pazzanese of cardiology (idpc), sao paulo, brazil

چکیده

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. 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). 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.

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عنوان ژورنال:
iranian red crescent medical journal

جلد ۱۸، شماره ۱۱، صفحات ۰-۰

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