Aidan: Created page with "== Background == * Post-myocardial infarction pericarditis with or without pericardial effusion == Clinical Manifestations == * Occurs 1 to 6 weeks after initial insult * Symptoms include fever, malaise, weakness, pleuritic chest pain, irritability, poor appetite, palpitations, dyspnea, and arthralgias ** Fevers typically lower-grade but can be high-grade * Often tachycardic and can have pericardial friction rub on auscultation * Can be complicated by cardiac ta..."

2026-05-11T18:22:09Z

Created page with "== Background == * Post-myocardial infarction pericarditis with or without pericardial effusion == Clinical Manifestations == * Occurs 1 to 6 weeks after initial insult * Symptoms include fever, malaise, weakness, pleuritic chest pain, irritability, poor appetite, palpitations, dyspnea, and arthralgias ** Fevers typically lower-grade but can be high-grade * Often tachycardic and can have pericardial friction rub on auscultation * Can be complicated by cardiac ta..."

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== Background ==

* Post-myocardial infarction [[pericarditis]] with or without pericardial effusion

== Clinical Manifestations ==

* Occurs 1 to 6 weeks after initial insult
* Symptoms include fever, malaise, weakness, pleuritic chest pain, irritability, poor appetite, palpitations, dyspnea, and arthralgias
** Fevers typically lower-grade but can be high-grade
* Often tachycardic and can have pericardial friction rub on auscultation
* Can be complicated by [[cardiac tamponade]]

== Investigations ==

* Echocardiogram
* ECG can show diffuse ST elevation and T-wave inversions (as in pericarditis)
* CBC will show a leukocytosis
* Elevated ESR/CRP
* Consider pericardiocentesis for cell count and differential, Gram stain and culture, cytology, protein

== Management ==

* NSAIDs tapered over 4 to 6 weeks
* For failure of NSAIDs, prednison, tapered over 4 weeks
* Sometimes colchicine

[[Category:Cardiology]]

Dressler syndrome - Revision history