Post-Myocardial Infarction Complications: A Case of Cardiac Tamponade Secondary to Dressler’s Syndrome

Introduction: Cardiac tamponade, a rare but life-threatening complication following myocardial infarction (MI), can manifest acutely and necessitate urgent intervention. Case Report: We present the clinical course of a 47-year-old male who developed cardiac tamponade secondary to Dressler’s syndrome three weeks after a non-ST-elevation myocardial infarction (NSTEMI). The patient presented with epigastric pain, a syncopal episode, and hypotension. Bedside echocardiography revealed a massive pericardial effusion with signs of tamponade physiology. Promptly performing emergency pericardiocentesis led to significant clinical improvement. Conclusion: Early recognition and management are crucial to preventing life-threatening complications.

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Publication Details

Journal
Journal of Emergency Medicine Case Reports
Published
2024-08-30
DOI
https://doi.org/10.33706/jemcr.1515588
Primary Topic
Pericarditis and Cardiac Tamponade
Type
article
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article

Post-Myocardial Infarction Complications: A Case of Cardiac Tamponade Secondary to Dressler’s Syndrome

C Tan, Aireen Binti Zamhot, Evelyn Yi Wen Chau
Journal of Emergency Medicine Case Reports
Pericarditis and Cardiac Tamponade
article

Post-Myocardial Infarction Complications: A Case of Cardiac Tamponade Secondary to Dressler’s Syndrome

C Tan, Aireen Binti Zamhot, Evelyn Yi Wen Chau
article en

Abstract

Introduction: Cardiac tamponade, a rare but life-threatening complication following myocardial infarction (MI), can manifest acutely and necessitate urgent intervention. Case Report: We present the clinical course of a 47-year-old male who developed cardiac tamponade secondary to Dressler’s syndrome three weeks after a non-ST-elevation myocardial infarction (NSTEMI). The patient presented with epigastric pain, a syncopal episode, and hypotension. Bedside echocardiography revealed a massive pericardial effusion with signs of tamponade physiology. Promptly performing emergency pericardiocentesis led to significant clinical improvement. Conclusion: Early recognition and management are crucial to preventing life-threatening complications.

Journal of Emergency Medicine Case ReportsVol. 15(3)
Hospital Seberang Jaya (MY), National University of Malaysia (MY)
Good health and well-being
Openalex Percentile: Top 74%
Pericarditis and Cardiac Tamponade
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