Case of successful treatment of Dressler's syndrome

Currently, coronary artery disease is still one of the most urgent problems of cardiology, due to the place of this pathology in the structure of mortality and its impact on the quality of life of patients. On the other hand, due to the widespread use of endovascular methods for the treatment of myocardial infarction, such complications as postinfarction pericarditis and Dressler’s syndrome are less common. At the same time, patients with a complicated course of myocardial infarction often have a comorbid pathology, which is associated with significant difficulties in prescribing drug therapy. The presented clinical case demonstrates the development of a protracted variant of Dressler’s syndrome in a comorbid patient, as well as the associated difficulties in managing the patient and prescribing the advanced pathogenetic therapy. Thorough analysis of clinical manifestations, dynamic monitoring of the patient allowed timely identification of a rare late complication of myocardial infarction, prescribing adequate therapy, thereby ensuring proper rehabilitation.

myocardial infarction, epistenocardic pericarditis, Dressler's syndrome, dual antiplatelet therapy, clinical case, fractional blood flow reserve