The incidence and clinical characteristics of the postinfarct syndrome (Dressler's syndrome)
Tikholov, K.; Nikolov, G.
Vutreshni Bolesti 13(6): 74-77
1974
ISSN/ISBN: 0506-2772 PMID: 4467476 Document Number: 72005
After a brief review of the post infarction syndrome, the authors report the results from the examinations of 257 patients with myocardial infarctions and post infarction states, treated at the Therapeutic clinic for the last 10 years. They found post infarction syndrome in 12 patients--4,8 per cent. Six of the patients--2,4 per cent--were with a complete clinical picture and six patients--2,4%--were with a frustrate form. In two of the patients, the syndrome developed as early as the first week and in the rest--10--between the first and the eighth week post infarction onset. The most frequent, almost compulsory symptoms of the syndrome were: febrility, leukocytosis, accelerated erythrocyte sedimentation, followed by chest pains, pericarditis, pleuritis and pneumonia. tnine of the patients were established to have anterior or anterolateral infarction and only three were with infarction of the posterior wall. With respect to the infarction severity, preceding the syndrome--two patients were with a light infarction form; four with moderately severe and six--with severe. The authors stress upon the particular importance of the combination of the syndrome with heart aneurysm post myocardial infarction, observed in two of the patients. At the end they accentuate on the diagnostic difficulties, caused by the syndrome.