Going Beyond the Surface: A Case Report of Dressler’s Syndrome
Keywords:
Dressler’s Syndrome, Sudden Cardiac Death, Post-Myocardial Infarction, Pericarditis, Forensic Autopsy.Abstract
Myocardial insufficiency is the most common cause of sudden death in young adults. Herein we discuss a case of Dressler’s syndrome whose incidence is reported to be < 1-3% and is a cause that goes unreported. We report a case of young adult of sudden death, whose cause of death on gross examination seemed to be that of myocardial insufficiency. Due to a high index of suspicion after the history given by the relatives the cause of death gave us a deeper insight into his cause of death. The relevance of this topic is to rely on the history and not ending the case on gross examination alone. A deeper understanding of the cause will also increase the incidence of such cases which seem to be rare as they are not reported.
References
Welin, L., Vedin, A., & Wilhelmsson, C. (1983). Characteristics, prevalence, and prognosis of postmyocardial infarction syndrome. British Heart Journal, 50, 140–145.
Dressler, W. (1956). A post-myocardial infarction syndrome: Preliminary report of a complication resembling idiopathic, recurrent, benign pericarditis. JAMA, 160, 1379–1383.
McCaughan, B. C., Schaff, H. V., Piehler, J. M., Danielson, G. K., Orszulak, T. A., Puga, F. J., Pluth, J. R., Connolly, D. C., & McGoon, D. C. (1985). Early and late results of pericardiectomy for constrictive pericarditis. The Journal of Thoracic and Cardiovascular Surgery, 89(3), 340–350.
Bonow, R. O., et al. (2015). Pericardial diseases. In Braunwald’s Heart Disease: A Textbook of Cardiovascular Medicine (10th ed.). Philadelphia, PA: Saunders Elsevier. Retrieved from http://www.clinicalkey.com
Bendjelid, K., & Pugin, J. (2004). Is Dressler syndrome dead? Chest, 126(5), 1680–1682.
Diaz-Arocutipa, C., Saucedo-Chinchay, J., & Imazio, M. (2021). Pericarditis in patients with COVID-19: A systematic review. Journal of Cardiovascular Medicine, 22(9), 693–700.
Rodriguez, E. R., & Tan, C. D. (2017). Structure and anatomy of the human pericardium. Progress in Cardiovascular Diseases, 59(4), 327–340.
Clapp, S. K., Garson, A., Gutgesell, H. P., Cooley, D. A., & McNamara, D. G. (1980). Postoperative pericardial effusion and its relation to postpericardiotomy syndrome. Pediatrics, 66(4), 585–588.
Lichstein, E., Arsura, E., Hollande, G., Greengart, A., & Sanders, M. (1982). Current incidence of postmyocardial infarction (Dressler’s) syndrome. The American Journal of Cardiology, 50(6), 1269–1271.
Gungor, B., Ucer, E., & Erdinler, I. C. (2008). Uncommon presentation of postcardiac injury syndrome: Acute pericarditis after percutaneous coronary intervention. International Journal of Cardiology, 128(1), e19–e21.
Cohen, M. C., Rohtla, K. M., Lavery, C. E., Muller, J. E., & Mittleman, M. A. (1997). Meta-analysis of the morning excess of acute myocardial infarction and sudden cardiac death. American Journal of Cardiology, 79(11), 1512–1516.
Engle, M. A., Zabriskie, J. B., & Senterfit, L. B. (1976). Heart-reactive antibody, viral illness, and the postpericardiotomy syndrome: Correlates of a triple-blind, prospective study. Transactions of the American Clinical and Climatological Association, 87, 147–160.
