The main treatment is usually either aspirin or other non-steroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen or naproxen. Events likely to cause this damage are heart attack, injuries or surgery. Several possible suggested mechanisms include local inflammation, autoimmune response and latent viruses. With recent improvements in heart attack treatment, Dressler’s syndrome is less common than it used to be. All rights reserved. Dressler’s syndrome may be treated with medications. 1 Alternative pericardial insults can, however, generate a similar clinical picture, making the diagnosis less obvious and delaying a potentially effective treatment. Our website services, content, and products are for informational purposes only. It is named after cardiologist William Dressler who described it.It  is more likely to recur if there is a previous history of the syndrome. Dressler’s syndrome is a form of pericarditis that can occur after a heart attack, heart surgery, heart procedure, or chest trauma due to an accident or injury. Treatment for Dressler syndrome includes taking high doses of aspirin or other anti-inflammatory medications. Dressler's syndrome was originally described after acute myocardial infarction (MI) and its incidence seems to be declining, owing to modern reperfusion modalities. Dressler syndrome is best treated with high dose aspirin. In some resistant cases, corticosteroids can be used but are not preferred (avoided) in first month due to the high frequency of impaired ventricular healing leading to increased rate of ventricular rupture. Your doctor might suggest taking over-the-counter (OTC) If the OTC anti-inflammatory drugs don’t improve your symptoms, your doctor might prescribe:Because of their side effects, corticosteroids are usually a last resort.If you develop any complications of Dressler syndrome, more aggressive treatments may be needed:The outlook for Dressler syndrome is generally favorable. "Mayo," "Mayo Clinic," "MayoClinic.org," "Mayo Clinic Healthy Living," and the triple-shield Mayo Clinic logo are trademarks of Mayo Foundation for Medical Education and Research.

Any use of this site constitutes your agreement to the Terms and Conditions and Privacy Policy linked below. If you develop cardiac tamponade, your doctor will likely recommend a procedure (pericardiocentesis) in which a needle or small tube (catheter) is used to remove the excess fluid.

The typical sound of pericarditis is described as the sound of boots walking over fresh snow.Rarely, it may cause cardiac tamponade or acute pneumonitis.An x-ray may reveal nonspecific cardiac enlargementECG-gated MR (cardiac MR or CMR) is the imaging modality of choice. Dressler's syndrome is believed to be an immune system response after damage to heart tissue or to the pericardium, from events such as a heart attack, surgery or traumatic injury. Treatment for Dressler syndrome includes taking high doses of aspirin or other anti-inflammatory medications. They’ll listen to your heart with a stethoscope for sounds that might indicate the presence of inflammation or fluid near your heart.If not treated, inflammation of the pericardium can lead to serious complications.

However, an immune response can sometimes cause an excessive amount of inflammation.Some of the events that have been known to trigger Dressler syndrome include:Symptoms can occur two to five weeks after the initial event. But it does © 2005-2020 Healthline Media a Red Ventures Company.

The immune response that causes Dressler syndrome may also cause a condition known as In rare cases, the chronic inflammation in the heart can lead to very serious complications, including:Treatment is aimed at reducing inflammation. These include pneumonia, pulmonary embolism, angina, congestive heart failure (CHF), and heart attack.A doctor may suspect you have Dressler syndrome if you start feeling ill a few weeks after a heart surgery or heart attack. A single copy of these materials may be reprinted for noncommercial personal use only. We present computed tomography (CT) findings, intra-operative photography and video imaging of the cardiac surgery used as definitive treatment. Two commonly used dosing schedules are: High-dose aspirin, 750 mg to 1,000 mg every six to eight hours.

Dressler syndrome is a type of pericarditis, which is the inflammation of the sac around the heart (pericardium).

Post-pericardiotomy syndrome has been observed after cardiac surgery, percutaneous intervention, pacemaker implantation, radiofrequency ablation and pulmonary vein isolation [ 3 , 4 ] . Dressler's syndrome may also be called postpericardiotomy syndrome, postmyocardial infarction syndrome and p… Advertising revenue supports our not-for-profit mission.Check out these best-sellers and special offers on books and newsletters from Mayo Clinic. All rights reserved. Dressler's syndrome is believed to be an immune system response after damage to heart tissue or to the pericardium, from events such as a heart attack, surgery or traumatic injury. Certain characteristic sounds can indicate that your pericardium is inflamed or that fluid has accumulated around your heart.The goals are to manage pain and reduce inflammation. In this case, the occurrence of Dressler’s syndrome was life-saving, as the intense inflammatory response in the pericardium effectively sealed the rupture, preventing death. Dressler syndrome is a delayed immune-mediated or secondary pericarditis developing weeks to months after a myocardial infarction characterized by pleuritic chest pain, low-grade fever and pericarditis.

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