True about Dressler'syndrome is all, except ?
Ans. is 'a' i.e., Occurs within hours after myocardial infarctiono It is a secondary form of pericarditis that occurs in the setting of injury to the hea or the pericardium. o It is also know as postmyocardial infarction syndrome or postcardiotomy pericarditis.o /t usually occurs 2-3 weeks after MI (but may also occur within 2-5 days).o It is an autoimmune inflammatory reaction to myocardial neo-antigens.o Anticoagulation therapy may precipitate it.o Clinical manifestations -4 Low grade fever, pleuritic chest pain, pericardial friction rub, pericardial effusion.o Dresseler's syndrome is typically treated with NSAIDs such as aspirin or with coicosteroids --> Because both these drugs reduce inflammation.In resistant cases colchicine may be used.
Occurs within hours after myocardial infarction
May be due to early use of anticoagulant
Chest pain is common
Responds well to salicylates