Post-cardiac injury syndromes
- Brian D Hoit, MD
Brian D Hoit, MD
- Professor of Medicine and Physiology and Biophysics
- Case Western Reserve University and University Hospitals of Cleveland
Pericarditis with or without a pericardial effusion resulting from injury of the pericardium constitutes the post-cardiac injury syndrome. Postcardiac injury syndrome was first described after myocardial infarction by Dressler in 1956 . The principal conditions considered under this rubric are:
●Postmyocardial infarction syndrome
The term "postpericardiotomy syndrome" was substituted for the previous "postcardiotomy syndrome" after it was discovered that the syndrome can occur after the pericardium is opened even if no other cardiac structures are involved (eg, after surgery for bronchogenic lung carcinoma). Furthermore, the provoking cardiac injury may be surprisingly minor (eg, percutaneous coronary intervention, insertion of a pacing lead, radiofrequency ablation) .To continue reading this article, you must log in with your personal, hospital, or group practice subscription. For more information on subscription options, click below on the option that best describes you:
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- CLINICAL FEATURES
- Laboratory testing
- Chest radiograph
- DIFFERENTIAL DIAGNOSIS
- PREVENTION AND TREATMENT
- - Colchicine
- - Glucocorticoids
- - NSAIDs
- - Colchicine
- - Treatment for refractory cases
- PROGNOSIS AND FOLLOW-UP
- PERICARDIAL TRAUMA
- SOCIETY GUIDELINE LINKS
- INFORMATION FOR PATIENTS
- SUMMARY AND RECOMMENDATIONS