Dressler syndrome

Acute dry pericarditis, probably of autoimmune origin, accompanied by pain that occurs

-        either 2 to 16 weeks after a transmural myocardial infarction. It combines fever, pericarditis, pleuritis, arthralgias, altered general state, a major inflammatory syndrome, QT lengthening on ECG. This syndrome has become rare since the advent of early coronary reperfusion.

-        either in the days or months after open heart surgery or after heart transplantation, probably as a consequence  of pericardiotomy. The occurrence of a tamponade is possible. Cardiac surgery is currently the leading cause of pericardial constriction

Treatment:  aspirin


Anesthetic implications: 

exclude presence of pericardial or pleural fluid


References : 


Updated: December 2017