فهرست نشریات علمی دسترسی آزاد ایران

Dressler Syndrome should be considered in the differential diagnosis of chest pain, especially in patients who are ina late stage of the evolution of the ischemic process.Case Presentation: A 46-year-old male was admitted to the emergency department due to pleuritic chest pain. Two weeks beforethis admission, he presented with a typical angina episode, likely an ST segment elevation myocardial infarction (STEMI), and didnot receive reperfusion therapy or any medical care. The patient’s electrocardiogram showed diffuse ST segment elevation and PRsegment depression, and his blood tests showed positivemyocardial necrosis markers. A coronary angiography showed a proximalocclusion (not recanalized) of the circumflex artery. There was a late gadolinium enhancement area seen through cardiac magneticresonance imaging (CMR), suggestive of recent transmural infarction, pericardial injury, and pleural effusion (inflammatory).Conclusions: These findings strongly suggest the diagnosis of delayed post-infarction pericarditis, or Dressler Syndrome, a raredisease in the age of reperfusion therapy. Although rare, it is a syndrome that must be considered in the differential diagnosis ofchest pain.