Although the existence of the postmyocardial infarction syndrome has now long been questioned, the Dressler symptom complex remains widely accepted as a distinct clinical entity. A patient is described whose twenty-five-year follow-up adds to our argument that there is no late or separate multisystem autoimmune disease following acute myocardial infarction. It is suggested that the Dressler complex is an entity that has neither vanished nor been vanquished but one that may never have existed.
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References
1.
Kossowsky WA , Lyon AF, Spain DM: Reappraisal of the postmyocardial infarction—Dressler's syndrome. Am Heart J101:954-956, 1981.
2.
Pasternak RC, Braunwald E., Sobel BC: Acute myocardial infarction. In: Heart Disease: A textbook of Cardiovascular Medicine, ed. by Braunwald, E, Philadelphia: Saunders, 1992, p 1263.
3.
Shabetai R.: Disease of the pericardium. In: The Heart, ed. by Hurst JW, Schlant RC, Rackley CD, et al. New York: McGraw-Hill, 1990, p 1367.
4.
Pandian NG, Vignola P., Johnson RA, et al: Pericardial diseases. In: The Practice of Cardiology , ed. by Eagle KA, Haber E, DeSantis RW, et al. Boston: Little, Brown, 1990, p 1000.
5.
Edwards WD: Pathology of myocardial infarction and reperfusion. In: Actue Myocardial Infarction, ed. by Gersh BJ, Rahimtoola SH.New York: Elsevier, 1991, p 32.
6.
Williams RC: Cardiovascular diseases including rheumatic fever. In: Immunological Diseases, ed. by Samter M.Boston: Little, Brown, 1988, pp 1548-1549.
7.
Lange LG, Schreiner GF: Immune mechanism of cardiac disease. N Engl J Med330:1129-1135, 1994.
8.
Kossowsky WA , Kim KS, Tobin MS: Antimetabolite therapy in the postmyocardial syndrome. Am Heart J83:527-531, 1972.
9.
Kossowsky WA , Lyon AF, Spain DM: A forum on Dressler's syndrome . Am Heart J103:926-928, 1982.
10.
Lichstein E. , Arsura E., Hollander G., et al: Current incidences of post myocardial infarction (Dressler's) syndrome. Am J Cardiol5:1269-1271, 1982.
11.
Gruppo italiano per lo studio della streptochinasi nellinfarcto miocardico (GISSI). Comparison of frequency, diagnostic and prognostic significance of pericardial involvement in acute myocardial infarction treated with and without thrombolytics. Am J Cardiol71:1377-1381, 1993.