أمراض القلب

متلازمة دريسلر dresslers syndrome

حميد صالح الحراسي

متلازمة دريسلر هي متلازمة نادرة الحدوث، وهي المعروفة بالمتلازمة التالية لاحتشاء العضلة القلبية (النوبة القلبية).

المتلازمة التالية لإحتشاء عضلة القلب

متلازمة دريسلر

المتلازمة التالية للنوبة القلبية وصفها لأول مرة وليام دريسلر عام 1956، لذا سميت بمتلازمة دريسلر، ولكنها مختلفة عن متلازمة دريسلر لأمراض الدم التي وصفها لوكاس دريسلر عام 1854 .

أسباب متلازمة دريسلر

يعتقد أن المتلازمة التالية لاحتشاء العضلة القلبية تحدث نتيجة التهاب التامور بعد جراحة القلب نتيجة رد فعل المناعة الذاتية على المستضدات الجديدة المتشكلة بعد النوبة القلبية.

أعراض وعلامات متلازمة دريسلر

تحدث متلازمة دريسلر في حوالي 7% من حالات احتشاء عضلة القلب (النوبة القلبية)، وغالباً ما تظهر أعراض المتلازمة خلال أسبوعين بعد احتشاء عضلة القلب، وقد تتأخر بضعة أشهر، من الأعراض والعلامات ما يلي : -

احتكاك التامور أو اندحاس التامور .
انصباب التامور .
ألم في الصدر
الحمى و انخفاض درجة الحرارة .

علاج المتلازمة التالية للنوبة القلبية

تتم معالجة متلازمة دريسلر بواسطة مضادات الالتهاب غير الستيروئيدية مثل الأسبيرين أو الكورتيزون، وفي حالات نادرة يلجأ إلى الجراحة حيث يتم تقشير التامور أو استئصاله.

تعديل المقال

الأقسام أمراض القلب أمراض القلب والأوعية الدموية

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