Postcardiac Injury Syndrome
Dressler syndrome; Postcardiotomy syndrome; Postcommissurotomy syndrome; Post-myocardial infarction syndrome; Postpericardiotomy syndrome; Post-traumatic pericarditis
Postcardiac injury syndrome (PCIS) is a term used to describe late pericarditis or pleuropericarditis following a myocardial, pericardial, and/or pleural insult. Other terms describe the same condition based on the inciting event, such as Dressler syndrome or post-myocardial infarction syndrome with an acute myocardial infarction and postpericardiotomy syndrome with cardiac surgery.
PCIS frequently presents with chest discomfort, pericardial effusion, elevated inflammatory markers (i.e., CRP & ESR), pleural effusion, dyspnea, low-grade fever, and/or a pleural or pericardial friction rub. These features generally occur no later than 3 months after the inciting event with most patients being affected within the first month, especially 1 week. It may last from a few days to a few weeks, with complete...
References and Further Reading
- Hoit, B. D. Post-cardiac injury syndromes. www.uptodate.com. Accessed 10 Jan 2014.
- Imazio, M., Brucato, A., Rovere, M. E., Gandino, A., Cemin, R., Ferrua, S., Maestroni, S., Barosi, A., Simon, C., Ferrazzi, P., Belli, R., Trinchero, R., Spodick, D., & Adler, Y. (2011). Contemporary features, risk factors, and prognosis of the post-pericardiotomy syndrome. The American Journal of Cardiology, 108, 1183–1197.CrossRefPubMedGoogle Scholar
- Silver, M., et al. (2001). Cardiovascular pathology (3rd ed.). Philadelphia: Churchill Livingstone. Print.Google Scholar