Cardiovascular magnetic resonance can effectively demonstrate global late gadolinium enhancement of the pericardium to support the diagnosis of Dressler's syndrome following myocardial infarction.
May aid post-MI Dressler's diagnosis; hypothesis-generating and requires prospective validation before practice change.
A 49-year old patient presented late with an anterolateral ST-elevation myocardial infarction and was treated with rescue angioplasty to an occluded left anterior descending artery. Her recovery was complicated by low-grade pyrexia and raised inflammatory markers. Cardiovascular magnetic resonance 5 weeks after the acute presentation showed transmural infarction and global late gadolinium enhancement of the pericardium in keeping with Dressler's syndrome.
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Steadman et al. (2009) studied this question.
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