Dressler's syndrome refers to pericarditis and/or pleuritis occurring after acute myocardial infarction. It occurs rarely today.
(1) recent history of myocardial infarction
(2) one or more of the following:
(2a) pericarditis with pericardial effusion and tamponade
(2b) pleuritis with pleural effusion
(3) prolonged course if untreated
(4) exclusion of alternative diagnoses
(1) chest pain
(3) pericardial or pleural rub
Factors increasing risk:
(1) treatment with an oral anticoagulant
(2) large, extensive infarct
Factors decreasing risk:
(1) aggressive therapy with steroids and other anti-inflammatory agents
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