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Dressler’s Syndrome, (Postpericardiotomy Syndrome) A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions
Dressler’s Syndrome, (Postpericardiotomy Syndrome) A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions
Dressler’s Syndrome, (Postpericardiotomy Syndrome) A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions
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Dressler’s Syndrome, (Postpericardiotomy Syndrome) A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions

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Dressler's syndrome (or postpericardiotomy syndrome) is classified as a form of pericarditis, inflammation of the sac surrounding the heart.
The inflammation is thought to be a response of the immune system after a traumatic injury or damage to the heart tissue such as from a heart attack or open heart surgery.
Dressler’s syndrome is less frequent that it used to be
Two forms of pericarditis can happen after a heart attack:
Early pericarditis:
This is a disorder that normally happens within 1 to 3 days after a heart attack.
When the body attempts to clean and heal the diseased heart tissue, swelling and inflammation happen.
Late pericarditis (Dressler’s syndrome)
This is a disorder that normally happens several weeks or months after a heart attack, open heart surgery, or other chest trauma
Dressler’s syndrome is thought to be caused by the immune system wrongly attacking healthy heart tissue.
This is customary a post-myocardial infarction syndrome, normally happening two to five weeks after the early event but it can be delayed for as long as three months.
Dressler’s syndrome has typical features such as:
1. Pleuritic chest pain,
2. Low-grade fever and
3. Pericarditis (autopsy shows localized fibrinous pericarditis), together with pericardial effusion.
It is likely to follow a benign medical course.
Dressler's syndrome has been observed after heart surgery, percutaneous intervention, pacemaker implantation, radiofrequency ablation and pulmonary vein isolation
Causes
When the heart tissue is injured, the body responses to damaged tissue by sending immune cells and proteins called antibodies to clean and heal the injured area
Occasionally the reaction from the immune system produces excessive inflammation in the sac surrounding the heart, producing Dressler’s syndrome.
Risk factors
If a person has had a prior episode of Dressler’s syndrome, it is more likely to occur again.
It appears more likely to happen after a large infarct.
Symptoms
Symptoms of Dressler’s syndrome tend to occur 2-5 weeks or three months after a heart attack, open heart surgery or other chest trauma.
It normally manifests two to five weeks after the early episode, with pain and fever that may indicate further infarction.
The pain is the primary symptom, often in the left shoulder, often pleuritic, and worse on lying down.
There may be fatigue, fever and shortness of breath.
Infrequently, it may induce cardiac tamponade or acute pneumonitis.
The sound of pericardial friction rub may be heard with the stethoscope.
The normal sound of pericarditis is expressed as like the sound of boots walking over fresh snow.
Diagnosis
Dressler’s syndrome is diagnosed by the presence of:
Postcardiotomy pleuritic chest pain,
Low-grade fever and pericarditis
Serology may show heart autoantibodies.
ECG may show ST elevation in most leads without reciprocal ST depression, typical of pericardial effusion.
Echocardiography shows pericardial effusion.
MRI scan may show an effusion and, recently, has been shown to reveal pericardial involvement
CXR shows pleural effusions in 83%, parenchymal opacities in 74%, and an enlarged cardiac silhouette in 49%.
Treatment
1. Aspirin may be given in large doses.
2. Other non-steroidal anti-inflammatory drugs (NSAIDs) or corticosteroids may be given, particularly if there are severe and recurrent symptoms.
3. Steroids are especially valuable where severe symptoms require pericardiocentesis, and when infection has been ruled out.
In resistant or repeat occurrences, colchicine may be helpful.
If there is considerable pericardial effusion, then pericardiocentesis, requiring aspiration of the fluid, may be needed to alleviate the constriction on the heart.
TABLE OF CONTENT
Introduction
Chapter 1 Dressler’s Syndrome
Chapter 2 Causes
Chapter 3 Symptoms<

LanguageEnglish
PublisherKenneth Kee
Release dateOct 24, 2017
ISBN9781370103423
Dressler’s Syndrome, (Postpericardiotomy Syndrome) A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions
Author

Kenneth Kee

Medical doctor since 1972.Started Kee Clinic in 1974 at 15 Holland Dr #03-102, relocated to 36 Holland Dr #01-10 in 2009.Did my M.Sc (Health Management ) in 1991 and Ph.D (Healthcare Administration) in 1993.Dr Kenneth Kee is still working as a family doctor at the age of 74However he has reduced his consultation hours to 3 hours in the morning and 2 hours inthe afternoon.He first started writing free blogs on medical disorders seen in the clinic in 2007 on http://kennethkee.blogspot.com.His purpose in writing these simple guides was for the health education of his patients which is also his dissertation for his Ph.D (Healthcare Administration). He then wrote an autobiography account of his journey as a medical student to family doctor on his other blog http://afamilydoctorstale.blogspot.comThis autobiography account “A Family Doctor’s Tale” was combined with his early “A Simple Guide to Medical Disorders” into a new Wordpress Blog “A Family Doctor’s Tale” on http://ken-med.com.From which many free articles from the blog was taken and put together into 1000 eBooks.He apologized for typos and spelling mistakes in his earlier books.He will endeavor to improve the writing in futures.Some people have complained that the simple guides are too simple.For their information they are made simple in order to educate the patients.The later books go into more details of medical disorders.He has published 1000 eBooks on various subjects on health, 1 autobiography of his medical journey, another on the autobiography of a Cancer survivor, 2 children stories and one how to study for his nephew and grand-daughter.The purpose of these simple guides is to educate patient on health disorders and not meant as textbooks.He does not do any night duty since 2000 ever since Dr Tan had his second stroke.His clinic is now relocated to the Buona Vista Community Centre.The 2 units of his original clinic are being demolished to make way for a new Shopping Mall.He is now doing some blogging and internet surfing (bulletin boards since the 1980's) startingwith the Apple computer and going to PC.The entire PC is upgraded by himself from XT to the present Pentium duo core.The present Intel i7 CPU is out of reach at the moment because the CPU is still expensive.He is also into DIY changing his own toilet cistern and other electric appliance.His hunger for knowledge has not abated and he is a lifelong learner.The children have all grown up and there are 2 grandchildren who are even more technically advanced than the grandfather where mobile phones are concerned.This book is taken from some of the many articles in his blog (now with 740 posts) A Family Doctor’s Tale.Dr Kee is the author of:"A Family Doctor's Tale""Life Lessons Learned From The Study And Practice Of Medicine""Case Notes From A Family Doctor"

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    Book preview

    Dressler’s Syndrome, (Postpericardiotomy Syndrome) A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions - Kenneth Kee

    Dressler’s Syndrome,

    (Postpericardiotomy Syndrome)

    A

    Simple

    Guide

    To

    The Condition,

    Diagnosis,

    Treatment

    And

    Related Conditions

    By

    Dr Kenneth Kee

    M.B.,B.S. (Singapore)

    Ph.D (Healthcare Administration)

    Copyright Kenneth Kee 2017 Smashwords Edition

    Published by Kenneth Kee at Smashwords.com

    Dedication

    This book is dedicated

    To my wife Dorothy

    And my children

    Carolyn, Grace

    And Kelvin

    This book describes Dressler’s Syndrome, Diagnosis and Treatment and Related Diseases which is seen in some of my patients in my Family Clinic.

    (What The patient Need to Treat Dressler’s Syndrome)

    This eBook is licensed for your personal enjoyment only. This eBook may not be re-sold or given away to other people. If the patient would like to share this book with another person, please purchase an additional copy for each reader.

    If you’re reading this book and did not purchase it, or it was not purchased for your use only, then please return to Smashwords.com and purchase your own copy.

    Thank you for respecting the hard work of this author.

    Introduction

    I have been writing medical articles for my blog http://kennethkee.blogspot.com (A Simple Guide to Medical Disorder) for the benefit of my patients since 2007.

    My purpose in writing these simple guides was for the health education of my patients.

    Health Education was also my dissertation for my Ph.D (Healthcare Administration).

    I then wrote an autobiolographical account of his journey as a medical student to family doctor on his other blog http://afamilydoctorstale.blogspot.com.

    This autobiolographical account A Family Doctor’s Tale was combined with my early A Simple Guide to Medical Disorders into a new Wordpress Blog A Family Doctor’s Tale on http://kenkee481.wordpress.com.

    From which many free articles from the blog was taken and put together into 800 amazon kindle books and 200 into Smashwords.com eBooks.

    Some people have complained that the simple guides are too simple.

    For their information they are made simple in order to educate the patients.

    The later books go into more details of medical disorders.

    The first chapter is always from my earlier blogs which unfortunately tends to have typos and spelling mistakes.

    Since 2013, I have tried to improve my spelling and writing.

    As I tried to bring the patient the latest information about a disorder or illness by reading the latest journals both online and offline, I find that I am learning more and improving on my own medical knowledge in diagnosis and treatment for my patients.

    Just by writing all these simple guides I find that I have learned a lot from your reviews (good or bad), criticism and advice.

    I am sorry for the repetitions in these simple guides as the second chapters onwards have new information as compared to my first chapter taken from my blog.

    I also find repetition definitely help me and maybe some readers to remember the facts in the books more easily.

    I apologize if these repetitions are irritating to some readers.

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