Overview

Dressler’s syndrome is a form of pericarditis, or inflammation of the pericardium, a tough elastic sac that surrounds your heart. This may happen when your immune system reacts after some type of damage to your heart.

When your pericardium becomes inflamed, it can rub against your heart and cause chest pain. Excess fluid can also build up between your pericardium’s two layers. This puts pressure on your heart.

Dressler’s syndrome can happen after:

  • A heart attack (myocardial infarction).
  • Heart surgery.
  • A heart procedure.
  • Chest trauma from an accident or injury.

Dressler’s syndrome usually occurs within one to six weeks after heart surgery or a heart attack, but it can take up to several months for symptoms to develop.

Other names for Dressler’s syndrome include:

  • Post-myocardial infarction syndrome.
  • Post-cardiac injury syndrome.
  • Post-pericardiotomy syndrome.

Who does Dressler’s syndrome affect?

Dressler’s syndrome can happen in people of any age or race, but it appears to be more common in people who are 20 to 50 years old.

Risk factors that make you more likely to get Dressler’s syndrome include:

  • Heart attack (myocardial infarction).
  • Heart surgery.
  • Heart procedure.
  • Chest trauma as the result of an accident or injury.
  • Previous use of prednisone (Rayos® or Sterapred®).
  • Viral infection.
  • Previous case of pericarditis.

How common is Dressler’s syndrome?

Dressler’s syndrome is rare, possibly because of medical advances in treating heart attacks. Only 0.1% of people who have a heart attack get Dressler’s syndrome.

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Symptoms

When to see a doctor

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Complications

Blood clots are a dangerous complication of atrial fibrillation (AFib). Blood clots can lead to stroke.
The risk of stroke from AFib increases as you grow older. Other health conditions also may increase the risk of a stroke due to AFib. These conditions include:
  • High blood pressure.
  • Diabetes.
  • Heart failure.
  • Some types of heart valve disease.
Blood thinners are commonly prescribed to prevent blood clots and strokes in people with atrial fibrillation.

Prevention

Healthy lifestyle choices can reduce the risk of heart disease and may prevent atrial fibrillation (AFib). Here are some basic heart-healthy tips:
  • Control high blood pressure, high cholesterol and diabetes.
  • Don't smoke or use tobacco.
  • Eat a diet that's low in salt and saturated fat.
  • Exercise at least 30 minutes a day on most days of the week unless your health care team says not to.
  • Get good sleep. Adults should aim for 7 to 9 hours daily.
  • Maintain a healthy weight.
  • Reduce and manage stress.


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