A 50-year-old man presents with chest pain and dyspnoea. ECG shows inferior ST elevation and he is reperfused with primary PCI. Two days later he deve...

Question

A 50-year-old man presents with chest pain and dyspnoea. ECG shows inferior ST elevation and he is reperfused with primary PCI. Two days later he develops pleuritic chest pain, low-grade fever and a pericardial friction rub. Troponin remains elevated but ECG now shows diffuse ST elevation with PR depression. What is the most likely diagnosis?

Accepted Answer

Dressler syndrome (post-myocardial infarction pericarditis)

Answer

Re-infarction

Answer

Pulmonary embolism

Answer

Aortic dissection

Answer

Unstable angina

au-amc MCQ (SBA): Post-myocardial infarction pericarditis