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Dressler Syndrome — EECC MCQ

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HardCoronary Artery DiseaseDressler SyndromeEECC

Five weeks after an inferior STEMI, a patient develops fever, pleuritic pain, a pericardial rub, diffuse ST elevation and raised CRP. Which diagnosis and treatment pairing is most appropriate?

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Correct answer: E — Post-cardiac-injury pericarditis; high-dose aspirin plus colchicine

The delayed inflammatory syndrome after myocardial injury is characterised by pleuropericardial pain, fever, diffuse ECG change and inflammation. Aspirin is the preferred anti-inflammatory drug after MI, with colchicine reducing recurrence; alternative dangerous diagnoses still require exclusion.

Reference: https://www.nice.org.uk/guidance/ng185/chapter/Recommendations