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Case Reports in Medicine
Volume 2015, Article ID 215340, 3 pages
Case Report

Pericarditis Epistenocardica or Dressler Syndrome? An Autopsy Case

1Department of Experimental Medicine, Second University of Naples, Via Luciano Armanni 5, 80138 Naples, Italy
2Unit of Histology and Anatomical Pathology, A.O.R.N. “San Giuseppe Moscati”, Contrada Amoretta, 83100 Avellino, Italy

Received 11 May 2015; Accepted 5 July 2015

Academic Editor: Michael S. Firstenberg

Copyright © 2015 Alessandro Feola et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Postinfarction pericarditis can be classified as “early,” referred to as pericarditis epistenocardica, or “delayed,” referred to as Dressler syndrome. The incidence of postinfarction pericarditis has decreased to <5% since the introduction of reperfusion therapies and limitation of infarct size. We report on a 57-year-old man who suffered sudden cardiac death as a result of acute myocardial infarction. Autopsy revealed an area of previous infarction and fibrinous pericarditis related to the previous infarction, leading to a diagnosis of Dressler syndrome.