What is Dresslers Syndrome

Dressler syndrome

Dressler syndrome

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Dressler's myocarditis, post-myocardial infarction syndrome, late myocardial infarction syndrome, PMI syndrome, post-infarction myocarditis are further names for the Dressler syndrome. As Dressler syndrome describes a rare inflammation of the myocardium after a heart attack. This inflammation occurs days to weeks after a myocardial infarction. It is not caused by pathogens, but by the tissue that was lost during the infarction. There are signs of inflammation that can spread to the lungs. The disease can also lead to cardiac tamponade, which makes it life-threatening and, if left untreated, can lead to death. Therefore, the disease should be treated by experienced hands. Early treatment prevents more serious complications and has a very positive effect on the course.

definitionDressler's syndrome is a later disease after a heart attack

Other names
  • Dressler's myocarditis
  • Post myocardial infarction syndrome
  • Late Myocardial Infarction Syndrome
  • PMI syndrome
  • post-infarction myocarditis
  • unknown
  • possible deposits of immune complexes in the heart muscle tissue (autoimmune reaction)
Risk factors
  • Heart attack
  • Heart muscle injury
  • Heart surgery: bypass surgery, stent implantation, pacemaker
  • Signs of inflammation: Pericarditis, pleurisy
  • General symptoms: Chest pain, decreased performance, tiredness, fever
diagnosisAnamnese: Clinic, heart attack
Physical examination: Auscultation heart
Laboratory: Leukocytosis, CRP increased
Apparative diagnostics: EKG, echocardiography (effusion), chest X-ray

Differential diagnosis
  • Pulmonary embolism
  • Angina pectoris
  • pneumonia
  • another heart attack
  • Pericardial effusion
  • Pericardial tamponade
  • Constrictive pericarditis
  • Medical therapy: Anti-inflammatory drugs, ASA, glucocorticoids
  • Operative therapy: Pericardial puncture