A 61-year-old woman presents 6 weeks after anterior myocardial infarction with low-grade fever (38.2°C), sharp pleuritic chest pain improved by leaning forward, and malaise. Vital signs show BP 128/82 mmHg, HR 92/min, RR 18/min, SpO2 98% on room air. ECG demonstrates diffuse concave ST-segment elevations. Troponin is normal. She denies dyspnea or orthopnea. Which of the following is the most likely diagnosis?

  1. A)Papillary muscle rupture
  2. B)Ventricular aneurysm
  3. C)Free wall rupture
  4. D)Dressler syndromeGABARITO
  5. E)Ventricular septal rupture

Explicação

Dressler syndrome is correct. This is a delayed autoimmune pericarditis that occurs weeks after myocardial infarction and presents with fever, pleuritic chest pain, and diffuse ST elevation. The timing and inflammatory features distinguish it from early mechan... Ver explicação completa e trilha adaptativa →

Fazer o diagnóstico grátis de USMLE