Persistent ST Segment Elevation After Repeated Percutaneous Coronary Intervention: A Dressler Syndrome?
In the era of percutaneous coronary intervention (PCI), Dressler syndrome has become an extremely rare phenomenon. Originally known as post-myocardial infarction syndrome, it is characterized by fever, pleuritic chest pain, and pericardial or pleural effusion after myocardial infarction. It is one o...
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Interna Publishing
2023-01-01
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| Series: | Acta Medica Indonesiana |
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| Online Access: | http://www.actamedindones.org/index.php/ijim/article/view/1591 |
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| author | Eka Ginanjar Tanya Herdita |
| author_facet | Eka Ginanjar Tanya Herdita |
| author_sort | Eka Ginanjar |
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| description | In the era of percutaneous coronary intervention (PCI), Dressler syndrome has become an extremely rare phenomenon. Originally known as post-myocardial infarction syndrome, it is characterized by fever, pleuritic chest pain, and pericardial or pleural effusion after myocardial infarction. It is one of the sub-entities of post-myocardial infarction pericarditis (PMIP).
A 62-year-old man presented with persistent chest pain and diffuse ST segment elevation even after repeated PCIs. This condition was accompanied by fever and bilateral pleural effusion upon chest X-ray. The patient showed improvement in ST segment elevation and clinical condition after 2 weeks of steroid administration. The findings in this case suggest the possibility of PMIP. Although uncommon, physicians should be aware of the potentials of this condition in the differential diagnosis of chest pain after myocardial infarction and PCI so that immediate effective treatment can be given.
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| format | Article |
| id | doaj-art-afa2a3b5b1e34aa8b4e24eb2e21347c6 |
| institution | Matheson Library |
| issn | 0125-9326 2338-2732 |
| language | English |
| publishDate | 2023-01-01 |
| publisher | Interna Publishing |
| record_format | Article |
| series | Acta Medica Indonesiana |
| spelling | doaj-art-afa2a3b5b1e34aa8b4e24eb2e21347c62025-07-14T07:01:01ZengInterna PublishingActa Medica Indonesiana0125-93262338-27322023-01-01544Persistent ST Segment Elevation After Repeated Percutaneous Coronary Intervention: A Dressler Syndrome?Eka Ginanjar0Tanya Herdita1Division of Cardiology, Department of Internal Medicine, Faculty of Medicine Universtas Indonesia – Dr. Cipto Mangunkusumo Hospital, Jakarta, IndonesiaDepartment of Internal Medicine, Faculty of Medicine Universitas Indonesia – Dr. Cipto Mangunkusumo Hospital, Jakarta, IndonesiaIn the era of percutaneous coronary intervention (PCI), Dressler syndrome has become an extremely rare phenomenon. Originally known as post-myocardial infarction syndrome, it is characterized by fever, pleuritic chest pain, and pericardial or pleural effusion after myocardial infarction. It is one of the sub-entities of post-myocardial infarction pericarditis (PMIP). A 62-year-old man presented with persistent chest pain and diffuse ST segment elevation even after repeated PCIs. This condition was accompanied by fever and bilateral pleural effusion upon chest X-ray. The patient showed improvement in ST segment elevation and clinical condition after 2 weeks of steroid administration. The findings in this case suggest the possibility of PMIP. Although uncommon, physicians should be aware of the potentials of this condition in the differential diagnosis of chest pain after myocardial infarction and PCI so that immediate effective treatment can be given. http://www.actamedindones.org/index.php/ijim/article/view/1591Case reportpercutaneous coronary interventionmyocardial infarctionDressler syndromepost myocardial infarction pericarditis |
| spellingShingle | Eka Ginanjar Tanya Herdita Persistent ST Segment Elevation After Repeated Percutaneous Coronary Intervention: A Dressler Syndrome? Acta Medica Indonesiana Case report percutaneous coronary intervention myocardial infarction Dressler syndrome post myocardial infarction pericarditis |
| title | Persistent ST Segment Elevation After Repeated Percutaneous Coronary Intervention: A Dressler Syndrome? |
| title_full | Persistent ST Segment Elevation After Repeated Percutaneous Coronary Intervention: A Dressler Syndrome? |
| title_fullStr | Persistent ST Segment Elevation After Repeated Percutaneous Coronary Intervention: A Dressler Syndrome? |
| title_full_unstemmed | Persistent ST Segment Elevation After Repeated Percutaneous Coronary Intervention: A Dressler Syndrome? |
| title_short | Persistent ST Segment Elevation After Repeated Percutaneous Coronary Intervention: A Dressler Syndrome? |
| title_sort | persistent st segment elevation after repeated percutaneous coronary intervention a dressler syndrome |
| topic | Case report percutaneous coronary intervention myocardial infarction Dressler syndrome post myocardial infarction pericarditis |
| url | http://www.actamedindones.org/index.php/ijim/article/view/1591 |
| work_keys_str_mv | AT ekaginanjar persistentstsegmentelevationafterrepeatedpercutaneouscoronaryinterventionadresslersyndrome AT tanyaherdita persistentstsegmentelevationafterrepeatedpercutaneouscoronaryinterventionadresslersyndrome |