RISK FACTORS FOR DEVELOPMENT OF DRESSLER SYNDROME
Post myocardial infarction Dressler syndrome is a complication of myocardial infarction with a characteristic classical triad. One-time lesions of the pericardium, pleura and lungs with a simultaneous acute increase of temperature and changes of blood are relatively rare. In general, one or two symptoms are expressed clinically clearly, which is described in the literature as atypical, malosymptomatic or erased forms of postinfarction syndrome.The literature data determine that, the frequency of occurrence of the Dressler syndrome is 1-22.7%. Objective. To determine the frequency and to assess the risk factors for early Dressler syndrome in patients after myocardial infarction Material and methods. A retrospective analysis of the case histories of the patients with myocardial infarction was carried on the base of the city hospital №2 and the National Scientific Cardiosurgical Center of Astana for the period from January 1.2017 to December 31.2017. Results and discussion. In our study, traces a direct connection with the development of Dressler syndrome, myocardial infarction of the anterior septum wall and the apex of the left ventricle, as well as stenosis of the left coronary artery, which was the infarct-dependent artery, which entails the launch of the pathogenetic cascade of reactions with hemodynamic disturbances and congestion small circle of blood circulation, increased permeability of the vascular wall that causes the emergence of effusion in the target organs. Conclusions. The frequency of early Dressler's syndrome was 3.7%, which corresponds to the statistics of the World Health Organization; Based on the study, the following risk factors for Dressler's syndrome were identified: • The level of leukocytes is 12.1±3.7x109/l at admission; • Multivessel coronary disease; • Anteroseptal myocardial infarction; • Stenosis of the left coronary artery in coronary angiography; Keywords: myocardial infarction, Dressler syndrome, risk factors.