In the treatment of Dressler syndrome, which medication is commonly used?

• A. Ibuprofen
• B. Acetaminophen
• C. Prednisone
• D. Aspirin

Answer: (D)

Dressler syndrome is an autoimmune form of pericarditis that can follow a myocardial infarction. The treatment choice that best targets the inflammatory process while fitting the post‑MI context is high‑dose aspirin. Aspirin provides strong anti‑inflammatory effects and, unlike other NSAIDs, it preserves the antiplatelet benefits important after MI, and it doesn’t tend to hinder healing as much as some NSAIDs can. Other options are less ideal: ibuprofen and similar NSAIDs can interfere with myocardial healing and blunt aspirin’s effects, acetaminophen mainly relieves pain without addressing inflammation, and steroids like prednisone are reserved for refractory cases due to potential side effects and impact on healing.