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A case of Dressler’s syndrome successfully treated with colchicine and acetaminophen
- Source :
- Journal of Cardiology Cases
- Publication Year :
- 2021
- Publisher :
- Elsevier BV, 2021.
-
Abstract
- The incidence of Dressler’s syndrome after myocardial infarction (MI) has decreased in the reperfusion therapy era. Although guidelines recommend high-dose aspirin for treatment based on evidence from the pre-percutaneous coronary intervention (pre-PCI) era, bleeding and thrombotic concerns occurred upon aspirin administration after coronary stenting. A 69-year-old man with recent MI was admitted to our hospital. The patient presented with chest pain 1 week before admission. Electrocardiography revealed newly detected atrial fibrillation with no ST segment change. Urgent coronary angiography demonstrated a left circumflex artery occlusion. He underwent PCI, and a sirolimus-eluting stent was deployed. Aspirin, prasugrel, and apixaban were administered. However, hospital discharge was delayed because he developed heart failure during hospitalization. Twenty-three days after admission, he developed a fever of >39 °C. Electrocardiography showed anterior ST segment elevation, and echocardiography revealed a 6-mm pericardial effusion. We diagnosed the patient with Dressler’s syndrome, and colchicine 0.5 mg/day + acetaminophen 2000 mg/day were administered. His condition clinically improved after treatment and he was discharged 32 days after admission. There was hesitation about administration of high-dose aspirin in a patient who has undergone recent coronary stenting. Combination therapy of colchicine and acetaminophen could be a treatment option for Dressler’s syndrome.
- Subjects :
- medicine.medical_specialty
Case Report
030204 cardiovascular system & hematology
Chest pain
03 medical and health sciences
0302 clinical medicine
Reperfusion therapy
Acute pericarditis
Internal medicine
Medicine
ST segment
cardiovascular diseases
030212 general & internal medicine
Myocardial infarction
Dressler's syndrome
Aspirin
business.industry
Atrial fibrillation
medicine.disease
Cardiology
medicine.symptom
Dressler’s syndrome
Colchicine
Cardiology and Cardiovascular Medicine
business
Recent myocardial infarction
medicine.drug
Subjects
Details
- ISSN :
- 18785409
- Volume :
- 23
- Database :
- OpenAIRE
- Journal :
- Journal of Cardiology Cases
- Accession number :
- edsair.doi.dedup.....c4f4a16bfb5bad3e56e4099be59a7305