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Suggest Treatment For Persistent Pericarditis

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Posted on Thu, 5 Jan 2017
Question: on aug 30th 2016 I had a heart attack and later suffers from pericarditis,in which I cant get any releif from accept using steroids,I tried many different types of perscriptions drugs as well of over the counter drugs none of these help,can you help me
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Answered by Dr. Dr. Meriton Siqeca (38 minutes later)
Brief Answer:
Persistent pericarditis

Detailed Answer:
Hello and welcome to HCM. I understand your concern. Thank you for your question.

It appears that you have aquired one of the chronic complications of myocardial infarction, which is the Dressler syndrome. This syndrome may be persistent and refractory to treatment in up to 25% of cases. However, this type of pericarditis, in most of the cases, does not cause clinical symptoms, except mild dyspnea, which may also be a result of myocardial infarction sequelae. Now, the treatment for Dressler's requires medical treatment and once in three monthly echo cardiogram to evaluate the amount of liquid in the pericardial sac. The treatment may be in the form of a single medication (aspirin/ibuprofen or colchicine or steroids) or a combination of these. If the medical treatment does not result succesful, then the surgical treatment may be discussed.

I hope I was helpful with my insight. I am happy to help, if you have follow-up questions.

Best regards,
Dr. Meriton
Note: For further queries related to coronary artery disease and prevention, click here.

Above answer was peer-reviewed by : Dr. Raju A.T
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Answered by
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Dr. Dr. Meriton Siqeca

Cardiologist

Practicing since :2009

Answered : 775 Questions

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Suggest Treatment For Persistent Pericarditis

Brief Answer: Persistent pericarditis Detailed Answer: Hello and welcome to HCM. I understand your concern. Thank you for your question. It appears that you have aquired one of the chronic complications of myocardial infarction, which is the Dressler syndrome. This syndrome may be persistent and refractory to treatment in up to 25% of cases. However, this type of pericarditis, in most of the cases, does not cause clinical symptoms, except mild dyspnea, which may also be a result of myocardial infarction sequelae. Now, the treatment for Dressler's requires medical treatment and once in three monthly echo cardiogram to evaluate the amount of liquid in the pericardial sac. The treatment may be in the form of a single medication (aspirin/ibuprofen or colchicine or steroids) or a combination of these. If the medical treatment does not result succesful, then the surgical treatment may be discussed. I hope I was helpful with my insight. I am happy to help, if you have follow-up questions. Best regards, Dr. Meriton