Very Early Postoperative Pericarditis Following Coronary Artery Bypass Grafting Surgery<\/strong><\/h2>\n[\/et_pb_text][et_pb_text _builder_version=\u00bb4.27.5″ text_font=\u00bb||||||||\u00bb text_font_size=\u00bb15px\u00bb text_line_height=\u00bb2em\u00bb header_font=\u00bb||||||||\u00bb header_2_font=\u00bb||||||||\u00bb header_3_font=\u00bbEB Garamond||||||||\u00bb header_3_font_size=\u00bb24px\u00bb header_3_line_height=\u00bb1.4em\u00bb header_4_font=\u00bb|700||on|||||\u00bb header_4_text_color=\u00bb#ffdaa4″ header_4_font_size=\u00bb12px\u00bb header_4_letter_spacing=\u00bb2px\u00bb header_4_line_height=\u00bb2em\u00bb text_line_height_tablet=\u00bb\u00bb text_line_height_phone=\u00bb1.6em\u00bb text_line_height_last_edited=\u00bbon|phone\u00bb locked=\u00bboff\u00bb global_colors_info=\u00bb{}\u00bb]<\/p>\n
Abstract<\/h3>\n
Introduction: Acute inflammatory pericardial involvement following cardiac surgery is typically classified as early (due to mechanical or chemical injury, within the first 24-48 hours) or post-cardiotomy syndrome (immunological mechanism, days to months later). The early form requires a critical differential diagnosis from perioperative myocardial ischemia, especially after coronary artery bypass grafting. We present a case of very early pericarditis, suspected immediately upon the patient’s arrival at the Intensive Care Unit, representing an onset time that has not been previously documented in the literature.<\/p>\n
Case Report: A 54-year-old male with severe three-vessel coronary artery disease and previous myocardial infarction underwent four-vessel coronary artery bypass grafting. Immediately after admission to the cardiovascular recovery unit after surgery, the control electrocardiogram showed diffuse ST-segment elevation with an upward concave morphology (inferior, lateral, and anterior leads), highly suggestive of pericarditis. Myocardial injury biomarkers showed a moderate elevation (Troponin T 974 pg\/ml; creatine phosphokinase MB fraction 92 IU\/l). The clinical course was favorable. A Doppler echocardiogram on the third postoperative day revealed a mild pericardial effusion, confirmed preserved systolic function (left ventricular ejection fraction 60\u00a0%), and the absence of wall motion abnormalities, effectively ruling out significant ischemia. The electrocardiogram evolved typically for pericarditis. The patient was discharged on the eighth postoperative day due to his favorable evolution.<\/p>\n
Conclusion: This case demonstrates the very early onset of postoperative pericarditis (immediately after coronary artery bypass grafting), representing the earliest presentation reported to our knowledge. The importance of this case lies in establishing pericarditis as a possible diagnosis of electrocardiogram abnormalities after the patient leaves the operating room after cardiac surgery.<\/p>\n
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Keywords<\/h3>\n
Very early pericarditis, coronary artery bypass grafting, myocardial Ischemia, Immediate postoperative.<\/p>\n
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Introducci\u00f3n<\/h3>\n
Luego de una cirug\u00eda card\u00edaca se reconocen dos formas de afectaci\u00f3n peric\u00e1rdica inflamatoria de comienzo agudo. La primera es la que aparece tempranamente, en 24-48 horas, aunque el momento de inicio no ha sido definido con precisi\u00f3n, y en su g\u00e9nesis se presume una injuria mec\u00e1nica o qu\u00edmica. La restante suele ser llamada s\u00edndrome postcardiotom\u00eda, aparece desde d\u00edas hasta meses luego de la intervenci\u00f3n y se le asigna un mecanismo inmunol\u00f3gico o viral.\u00a01<\/sup>\u00a0En la primera, en especial, es crucial el diagn\u00f3stico diferencial con la isquemia mioc\u00e1rdica ya que esta es una complicaci\u00f3n esperable, particularmente en el postoperatorio inmediato de una cirug\u00eda de revascularizaci\u00f3n mioc\u00e1rdica.\u00a02<\/sup>\u00a0Su aparici\u00f3n se ha descripto tan precozmente como en las primeras horas del postoperatorio.\u00a03,4<\/sup>\u00a0Se describe a continuaci\u00f3n un caso en el cual la pericarditis se present\u00f3 de modo inusualmente precoz, a la llegada del paciente a la sala de cuidados intensivos, inmediatamente despu\u00e9s de finalizada la cirug\u00eda.<\/p>\n[\/et_pb_text][et_pb_text _builder_version=\u00bb4.27.5″ text_font=\u00bb||||||||\u00bb text_font_size=\u00bb15px\u00bb text_line_height=\u00bb2em\u00bb header_font=\u00bb||||||||\u00bb header_2_font=\u00bb||||||||\u00bb header_3_font=\u00bbEB Garamond||||||||\u00bb header_3_font_size=\u00bb24px\u00bb header_3_line_height=\u00bb1.4em\u00bb header_4_font=\u00bb|700||on|||||\u00bb header_4_text_color=\u00bb#ffdaa4″ header_4_font_size=\u00bb12px\u00bb header_4_letter_spacing=\u00bb2px\u00bb header_4_line_height=\u00bb2em\u00bb text_line_height_tablet=\u00bb\u00bb text_line_height_phone=\u00bb1.6em\u00bb text_line_height_last_edited=\u00bbon|phone\u00bb locked=\u00bboff\u00bb global_colors_info=\u00bb{}\u00bb]<\/p>\n
Objetivos<\/h3>\n
Presentar un caso de pericarditis luego de una cirug\u00eda card\u00edaca que se diagnostic\u00f3 a la llegada del paciente a la unidad de cuidados intensivos, inmediatamente despu\u00e9s de finalizada la intervenci\u00f3n.<\/p>\n
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Presentaci\u00f3n del caso<\/h3>\n
Paciente de 54 a\u00f1os, que present\u00f3 como factores de riesgo cardiovascular hipertensi\u00f3n arterial, dislipemia, tabaquismo anterior, sobrepeso y antecedentes familiares positivos para cardiopat\u00eda isqu\u00e9mica. Fue consumidor de coca\u00edna lo cual abandon\u00f3 hace 11 a\u00f1os. Portador de enfermedad coronaria severa de tres vasos, diagnosticada un mes antes, durante internaci\u00f3n por infarto agudo de miocardio sin elevaci\u00f3n del segmento ST, por lo que se indic\u00f3 cirug\u00eda de revascularizaci\u00f3n mioc\u00e1rdica (CRM). Se realiz\u00f3 ecocardiograma que no mostr\u00f3 patolog\u00eda estructural ni alteraciones de la motilidad parietal y funci\u00f3n sist\u00f3lica del ventr\u00edculo izquierdo conservada. El electrocardiograma (ECG) prequir\u00fargico se muestra en la (Figura 1).
Su medicaci\u00f3n habitual era aspirina 100 mg\/d, clopidogrel 75 mg\/d, atenolol 50 mg\/d, enalapril 20 mg\/d, mononitrato de isosorbide 40 mg\/d y atorvastatina 80 mg\/d.
Se efectu\u00f3 entonces la CRM con confecci\u00f3n de cuatro puentes: mamario interno a descendente anterior, venoso safeno a circunfleja, venoso safeno a lateral alta y venoso safeno a coronaria derecha.
Como complicaci\u00f3n intraoperatoria present\u00f3 dificultad a la salida de bomba con requerimiento de noradrenalina a dosis bajas (0,05 mcg\/kg\/min).
A su ingreso a la sala de cuidados intensivos de cirug\u00eda card\u00edaca se encontraba hemodin\u00e1micamente estable con vasopresores en descenso, a 0,02 mcg\/kg\/min. Se realiz\u00f3 ECG que evidenci\u00f3 ritmo sinusal a 75 lpm, PR 0,16 s, QRS 0,08 s, QTc 0,40 s, AQRS 0\u00ba y supradesnivel del segmento ST en cara inferior, lateral y anterior (Figura 2).
En ese momento se solicit\u00f3 laboratorio con dosaje de troponina T ultrasensible que result\u00f3 de 974 pg\/ml, creatinfosfoquinasa (CPK) 747 UI\/l y banda mioc\u00e1rdica de la creatinfosfoquinasa (CPK-MB) de 92 UI\/l. Tres horas despu\u00e9s se obtuvo nuevo dosaje de CPK de 941 UI\/l y CPK-MB de 82 UI\/l. Se desvincul\u00f3 de la asistencia respiratoria mec\u00e1nica 8 horas despu\u00e9s de la cirug\u00eda. Present\u00f3 s\u00edndrome vasopl\u00e9jico por lo que requiri\u00f3 infusi\u00f3n de fluidos y noradrenalina a 0,05 mcg\/kg\/min por menos de 24 horas.
El d\u00eda siguiente a la cirug\u00eda el paciente se encontraba hemodin\u00e1micamente estable, sin requerimiento de vasopresores. Su ECG se muestra en la (Figura 3).
Al tercer d\u00eda de internaci\u00f3n en la unidad de cuidados intensivos continuaba estable, asintom\u00e1tico, sin requerimiento de inotr\u00f3picos. Se realiz\u00f3 entonces ecocardiograma Doppler que evidenci\u00f3 cavidades card\u00edacas de tama\u00f1o normal, movimiento asincr\u00f3nico del septum<\/em> interventricular, resto de los segmentos con espesor, motilidad y engrosamiento parietal normales, funci\u00f3n sist\u00f3lica del ventr\u00edculo izquierdo normal con fracci\u00f3n de eyecci\u00f3n estimada del 60 %, estructuras valvulares sin alteraciones ostensibles, derrame peric\u00e1rdico leve, patr\u00f3n mitral pseudonormal con disfunci\u00f3n diast\u00f3lica grado II, insuficiencia mitral leve e insuficiencia tricusp\u00eddea m\u00ednima. El ECG de ese d\u00eda se muestra en la (Figura 4).
El d\u00eda 6 de postoperatorio, por buena evoluci\u00f3n cl\u00ednica, se decidi\u00f3 su pase a la sala de cuidados generales. El ECG del d\u00eda se muestra en la (Figura 5).
El d\u00eda 8 de postoperatorio se otorg\u00f3 el alta hospitalaria.<\/p>\n[\/et_pb_text][et_pb_text _builder_version=\u00bb4.27.5″ text_font=\u00bb||||||||\u00bb text_font_size=\u00bb15px\u00bb text_line_height=\u00bb2em\u00bb header_font=\u00bb||||||||\u00bb header_2_font=\u00bb||||||||\u00bb header_3_font=\u00bbEB Garamond||||||||\u00bb header_3_font_size=\u00bb24px\u00bb header_3_line_height=\u00bb1.4em\u00bb header_4_font=\u00bb|700||on|||||\u00bb header_4_text_color=\u00bb#ffdaa4″ header_4_font_size=\u00bb12px\u00bb header_4_letter_spacing=\u00bb2px\u00bb header_4_line_height=\u00bb2em\u00bb text_line_height_tablet=\u00bb\u00bb text_line_height_phone=\u00bb1.6em\u00bb text_line_height_last_edited=\u00bbon|phone\u00bb locked=\u00bboff\u00bb global_colors_info=\u00bb{}\u00bb]<\/p>\n
Discusi\u00f3n<\/h3>\n
En el caso presentado se sospech\u00f3 pericarditis al ingreso a la sala de cuidados intensivos, inmediatamente luego de finalizada la cirug\u00eda, de lo que no encontramos registros en nuestro servicio ni en la literatura. La sospecha se bas\u00f3 en los cambios electrocardiogr\u00e1ficos difusos, con el t\u00edpico supradesnivel del ST c\u00f3ncavo hacia arriba y se confirm\u00f3 con la evoluci\u00f3n t\u00edpica del ECG (hasta la fase 3) sin afectar la motilidad parietal en el ecocardiograma.
Si bien esta situaci\u00f3n se asoci\u00f3 a elevaci\u00f3n de los biomarcadores, este aumento es de grado moderado ya que no supera las 70 veces el l\u00edmite superior del valor normal para la troponina T ultrasensible ni las 4 veces el de la CPK-MB.\u00a05<\/sup>
En el a\u00f1o 2002 nuestro grupo encontr\u00f3 que, en 1726 pacientes, la aparici\u00f3n de pericarditis en las primeras 24 h luego de la cirug\u00eda card\u00edaca constitu\u00eda entre el 4 y el 15 % de las pericarditis luego de esa intervenci\u00f3n.\u00a03<\/sup>\u00a0En 2019, Busada y col. presentaron un caso de aparici\u00f3n de pericarditis a las 8 h de una cirug\u00eda de revascularizaci\u00f3n mioc\u00e1rdica.\u00a04<\/sup>\u00a0Sin embargo, hasta donde sabemos, no hay publicado un caso de pericarditis tan precoz como el descripto en este trabajo.
Debemos reconocer que el diagn\u00f3stico diferencial entre la pericarditis aguda y la isquemia mioc\u00e1rdica postquir\u00fargica es dif\u00edcil en muchas ocasiones. Si bien no ocurri\u00f3 en el paciente presentado, los cambios electrocardiogr\u00e1ficos de pericarditis son at\u00edpicos en el 40 % de los casos y los valores de corte de los biomarcadores de isquemia en las primeras horas no son claros.\u00a05,6<\/sup>\u00a0Esto hace que en algunos casos sea conveniente la realizaci\u00f3n de una coronariograf\u00eda de urgencia para definir la conducta a seguir.\u00a02<\/sup>
La importancia del caso presentado radica en objetivar que la diferencia entre pericarditis e isquemia mioc\u00e1rdica aguda debe establecerse desde el momento en que el paciente abandona el quir\u00f3fano, cuando hay indicios que las hagan sospechar.
Dado los escasos datos existentes en la literatura sobre el momento de comienzo de la pericarditis postcirug\u00eda card\u00edaca ser\u00eda conveniente un relevamiento suficientemente extenso como para precisarlo.<\/p>\n[\/et_pb_text][et_pb_text _builder_version=\u00bb4.27.5″ text_font=\u00bb||||||||\u00bb text_font_size=\u00bb15px\u00bb text_line_height=\u00bb2em\u00bb header_font=\u00bb||||||||\u00bb header_2_font=\u00bb||||||||\u00bb header_3_font=\u00bbEB Garamond||||||||\u00bb header_3_font_size=\u00bb24px\u00bb header_3_line_height=\u00bb1.4em\u00bb header_4_font=\u00bb|700||on|||||\u00bb header_4_text_color=\u00bb#ffdaa4″ header_4_font_size=\u00bb12px\u00bb header_4_letter_spacing=\u00bb2px\u00bb header_4_line_height=\u00bb2em\u00bb text_line_height_tablet=\u00bb\u00bb text_line_height_phone=\u00bb1.6em\u00bb text_line_height_last_edited=\u00bbon|phone\u00bb locked=\u00bboff\u00bb global_colors_info=\u00bb{}\u00bb]<\/p>\n
Conclusiones<\/h3>\n
Los cambios electrocardiogr\u00e1ficos son uno de los par\u00e1metros m\u00e1s tempranos y significativos para detectar complicaciones en el postoperatorio de una cirug\u00eda card\u00edaca, aunque a pesar de su alta sensibilidad, cuenta con una baja especificidad. La importancia de este caso consiste en ubicar a la pericarditis dentro de los diagn\u00f3sticos posibles de alteraci\u00f3n del ECG desde que el paciente operado card\u00edaco sale de quir\u00f3fano.<\/p>\n
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Conflicto de intereses<\/h3>\n
Los autores declaran no tener conflicto de intereses.<\/p>\n
[\/et_pb_text][et_pb_text _builder_version=\u00bb4.16″ text_font=\u00bb||||||||\u00bb text_font_size=\u00bb15px\u00bb text_line_height=\u00bb2em\u00bb header_font=\u00bb||||||||\u00bb header_2_font=\u00bb||||||||\u00bb header_3_font=\u00bbEB Garamond||||||||\u00bb header_3_font_size=\u00bb24px\u00bb header_3_line_height=\u00bb1.4em\u00bb header_4_font=\u00bb|700||on|||||\u00bb header_4_text_color=\u00bb#ffdaa4″ header_4_font_size=\u00bb12px\u00bb header_4_letter_spacing=\u00bb2px\u00bb header_4_line_height=\u00bb2em\u00bb text_line_height_tablet=\u00bb\u00bb text_line_height_phone=\u00bb1.6em\u00bb text_line_height_last_edited=\u00bbon|phone\u00bb global_colors_info=\u00bb{}\u00bb][\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=\u00bb1″ admin_label=\u00bbTablas\u00bb _builder_version=\u00bb4.16″ custom_padding=\u00bb1px|0px|62px|0px|false|false\u00bb locked=\u00bboff\u00bb collapsed=\u00bboff\u00bb global_colors_info=\u00bb{}\u00bb][et_pb_row custom_padding_last_edited=\u00bbon|phone\u00bb _builder_version=\u00bb4.16″ background_color=\u00bb#ffffff\u00bb max_width=\u00bb1280px\u00bb custom_padding=\u00bb12px|40px|12px|40px|true|false\u00bb custom_padding_tablet=\u00bb\u00bb custom_padding_phone=\u00bb|20px||20px||true\u00bb animation_style=\u00bbzoom\u00bb animation_intensity_zoom=\u00bb2%\u00bb border_radii=\u00bbon|12px|12px|12px|12px\u00bb box_shadow_style=\u00bbpreset1″ box_shadow_vertical=\u00bb50px\u00bb box_shadow_blur=\u00bb80px\u00bb box_shadow_color=\u00bbrgba(15,19,25,0.1)\u00bb use_custom_width=\u00bbon\u00bb custom_width_px=\u00bb1280px\u00bb global_colors_info=\u00bb{}\u00bb][et_pb_column type=\u00bb4_4″ _builder_version=\u00bb4.16″ custom_padding=\u00bb|||\u00bb global_colors_info=\u00bb{}\u00bb custom_padding__hover=\u00bb|||\u00bb][et_pb_text _builder_version=\u00bb4.27.5″ text_font=\u00bb||||||||\u00bb text_font_size=\u00bb15px\u00bb text_line_height=\u00bb2em\u00bb header_font=\u00bb||||||||\u00bb header_2_font=\u00bb||||||||\u00bb header_3_font=\u00bbEB Garamond||||||||\u00bb header_3_font_size=\u00bb24px\u00bb header_3_line_height=\u00bb1.4em\u00bb header_4_font=\u00bb|700||on|||||\u00bb header_4_text_color=\u00bb#ffdaa4″ header_4_font_size=\u00bb12px\u00bb header_4_letter_spacing=\u00bb2px\u00bb header_4_line_height=\u00bb2em\u00bb text_line_height_tablet=\u00bb\u00bb text_line_height_phone=\u00bb1.6em\u00bb text_line_height_last_edited=\u00bbon|phone\u00bb locked=\u00bboff\u00bb global_colors_info=\u00bb{}\u00bb]<\/p>\n
Figura 1: Electrocardiograma prequir\u00fargico<\/strong><\/p>\n[\/et_pb_text][et_pb_image src=\u00bbhttps:\/\/villavicencio.org.ar\/anuario\/wp-content\/uploads\/2026\/02\/Pericarditis1.jpg\u00bb title_text=\u00bbPericarditis\u00bb align=\u00bbcenter\u00bb _builder_version=\u00bb4.27.5″ _module_preset=\u00bbdefault\u00bb global_colors_info=\u00bb{}\u00bb][\/et_pb_image][\/et_pb_column][\/et_pb_row][et_pb_row custom_padding_last_edited=\u00bbon|phone\u00bb _builder_version=\u00bb4.16″ background_color=\u00bb#ffffff\u00bb max_width=\u00bb1280px\u00bb custom_padding=\u00bb12px|40px|12px|40px|true|false\u00bb custom_padding_tablet=\u00bb\u00bb custom_padding_phone=\u00bb|20px||20px||true\u00bb animation_style=\u00bbzoom\u00bb animation_intensity_zoom=\u00bb2%\u00bb border_radii=\u00bbon|12px|12px|12px|12px\u00bb box_shadow_style=\u00bbpreset1″ box_shadow_vertical=\u00bb50px\u00bb box_shadow_blur=\u00bb80px\u00bb box_shadow_color=\u00bbrgba(15,19,25,0.1)\u00bb use_custom_width=\u00bbon\u00bb custom_width_px=\u00bb1280px\u00bb global_colors_info=\u00bb{}\u00bb][et_pb_column type=\u00bb4_4″ _builder_version=\u00bb4.16″ custom_padding=\u00bb|||\u00bb global_colors_info=\u00bb{}\u00bb custom_padding__hover=\u00bb|||\u00bb][et_pb_text _builder_version=\u00bb4.27.5″ text_font=\u00bb||||||||\u00bb text_font_size=\u00bb15px\u00bb text_line_height=\u00bb2em\u00bb header_font=\u00bb||||||||\u00bb header_2_font=\u00bb||||||||\u00bb header_3_font=\u00bbEB Garamond||||||||\u00bb header_3_font_size=\u00bb24px\u00bb header_3_line_height=\u00bb1.4em\u00bb header_4_font=\u00bb|700||on|||||\u00bb header_4_text_color=\u00bb#ffdaa4″ header_4_font_size=\u00bb12px\u00bb header_4_letter_spacing=\u00bb2px\u00bb header_4_line_height=\u00bb2em\u00bb text_line_height_tablet=\u00bb\u00bb text_line_height_phone=\u00bb1.6em\u00bb text_line_height_last_edited=\u00bbon|phone\u00bb locked=\u00bboff\u00bb global_colors_info=\u00bb{}\u00bb]<\/p>\n
Figura 2: Electrocardiograma post quir\u00fargico inmediato<\/strong><\/p>\n[\/et_pb_text][et_pb_image src=\u00bbhttps:\/\/villavicencio.org.ar\/anuario\/wp-content\/uploads\/2026\/02\/Pericarditis2.jpg\u00bb title_text=\u00bbPericarditis\u00bb align=\u00bbcenter\u00bb _builder_version=\u00bb4.27.5″ _module_preset=\u00bbdefault\u00bb global_colors_info=\u00bb{}\u00bb][\/et_pb_image][\/et_pb_column][\/et_pb_row][et_pb_row custom_padding_last_edited=\u00bbon|phone\u00bb _builder_version=\u00bb4.16″ background_color=\u00bb#ffffff\u00bb max_width=\u00bb1280px\u00bb custom_padding=\u00bb12px|40px|12px|40px|true|false\u00bb custom_padding_tablet=\u00bb\u00bb custom_padding_phone=\u00bb|20px||20px||true\u00bb animation_style=\u00bbzoom\u00bb animation_intensity_zoom=\u00bb2%\u00bb border_radii=\u00bbon|12px|12px|12px|12px\u00bb box_shadow_style=\u00bbpreset1″ box_shadow_vertical=\u00bb50px\u00bb box_shadow_blur=\u00bb80px\u00bb box_shadow_color=\u00bbrgba(15,19,25,0.1)\u00bb use_custom_width=\u00bbon\u00bb custom_width_px=\u00bb1280px\u00bb global_colors_info=\u00bb{}\u00bb][et_pb_column type=\u00bb4_4″ _builder_version=\u00bb4.16″ custom_padding=\u00bb|||\u00bb global_colors_info=\u00bb{}\u00bb custom_padding__hover=\u00bb|||\u00bb][et_pb_text _builder_version=\u00bb4.27.5″ text_font=\u00bb||||||||\u00bb text_font_size=\u00bb15px\u00bb text_line_height=\u00bb2em\u00bb header_font=\u00bb||||||||\u00bb header_2_font=\u00bb||||||||\u00bb header_3_font=\u00bbEB Garamond||||||||\u00bb header_3_font_size=\u00bb24px\u00bb header_3_line_height=\u00bb1.4em\u00bb header_4_font=\u00bb|700||on|||||\u00bb header_4_text_color=\u00bb#ffdaa4″ header_4_font_size=\u00bb12px\u00bb header_4_letter_spacing=\u00bb2px\u00bb header_4_line_height=\u00bb2em\u00bb text_line_height_tablet=\u00bb\u00bb text_line_height_phone=\u00bb1.6em\u00bb text_line_height_last_edited=\u00bbon|phone\u00bb locked=\u00bboff\u00bb global_colors_info=\u00bb{}\u00bb]<\/p>\n
Figura 3: Electrocardiograma d\u00eda uno post quir\u00fargico<\/strong><\/p>\n[\/et_pb_text][et_pb_image src=\u00bbhttps:\/\/villavicencio.org.ar\/anuario\/wp-content\/uploads\/2026\/02\/Pericarditis3.jpg\u00bb title_text=\u00bbPericarditis\u00bb align=\u00bbcenter\u00bb _builder_version=\u00bb4.27.5″ _module_preset=\u00bbdefault\u00bb global_colors_info=\u00bb{}\u00bb][\/et_pb_image][\/et_pb_column][\/et_pb_row][et_pb_row custom_padding_last_edited=\u00bbon|phone\u00bb _builder_version=\u00bb4.16″ background_color=\u00bb#ffffff\u00bb max_width=\u00bb1280px\u00bb custom_padding=\u00bb12px|40px|12px|40px|true|false\u00bb custom_padding_tablet=\u00bb\u00bb custom_padding_phone=\u00bb|20px||20px||true\u00bb animation_style=\u00bbzoom\u00bb animation_intensity_zoom=\u00bb2%\u00bb border_radii=\u00bbon|12px|12px|12px|12px\u00bb box_shadow_style=\u00bbpreset1″ box_shadow_vertical=\u00bb50px\u00bb box_shadow_blur=\u00bb80px\u00bb box_shadow_color=\u00bbrgba(15,19,25,0.1)\u00bb use_custom_width=\u00bbon\u00bb custom_width_px=\u00bb1280px\u00bb global_colors_info=\u00bb{}\u00bb][et_pb_column type=\u00bb4_4″ _builder_version=\u00bb4.16″ custom_padding=\u00bb|||\u00bb global_colors_info=\u00bb{}\u00bb custom_padding__hover=\u00bb|||\u00bb][et_pb_text _builder_version=\u00bb4.27.5″ text_font=\u00bb||||||||\u00bb text_font_size=\u00bb15px\u00bb text_line_height=\u00bb2em\u00bb header_font=\u00bb||||||||\u00bb header_2_font=\u00bb||||||||\u00bb header_3_font=\u00bbEB Garamond||||||||\u00bb header_3_font_size=\u00bb24px\u00bb header_3_line_height=\u00bb1.4em\u00bb header_4_font=\u00bb|700||on|||||\u00bb header_4_text_color=\u00bb#ffdaa4″ header_4_font_size=\u00bb12px\u00bb header_4_letter_spacing=\u00bb2px\u00bb header_4_line_height=\u00bb2em\u00bb text_line_height_tablet=\u00bb\u00bb text_line_height_phone=\u00bb1.6em\u00bb text_line_height_last_edited=\u00bbon|phone\u00bb locked=\u00bboff\u00bb global_colors_info=\u00bb{}\u00bb]<\/p>\n
Figura 4: Electrocardiograma d\u00eda tres post quir\u00fargico<\/strong><\/p>\n[\/et_pb_text][et_pb_image src=\u00bbhttps:\/\/villavicencio.org.ar\/anuario\/wp-content\/uploads\/2026\/02\/Pericarditis4.jpg\u00bb title_text=\u00bbPericarditis\u00bb align=\u00bbcenter\u00bb _builder_version=\u00bb4.27.5″ _module_preset=\u00bbdefault\u00bb global_colors_info=\u00bb{}\u00bb][\/et_pb_image][\/et_pb_column][\/et_pb_row][et_pb_row custom_padding_last_edited=\u00bbon|phone\u00bb _builder_version=\u00bb4.16″ background_color=\u00bb#ffffff\u00bb max_width=\u00bb1280px\u00bb custom_padding=\u00bb12px|40px|12px|40px|true|false\u00bb custom_padding_tablet=\u00bb\u00bb custom_padding_phone=\u00bb|20px||20px||true\u00bb animation_style=\u00bbzoom\u00bb animation_intensity_zoom=\u00bb2%\u00bb border_radii=\u00bbon|12px|12px|12px|12px\u00bb box_shadow_style=\u00bbpreset1″ box_shadow_vertical=\u00bb50px\u00bb box_shadow_blur=\u00bb80px\u00bb box_shadow_color=\u00bbrgba(15,19,25,0.1)\u00bb use_custom_width=\u00bbon\u00bb custom_width_px=\u00bb1280px\u00bb global_colors_info=\u00bb{}\u00bb][et_pb_column type=\u00bb4_4″ _builder_version=\u00bb4.16″ custom_padding=\u00bb|||\u00bb global_colors_info=\u00bb{}\u00bb custom_padding__hover=\u00bb|||\u00bb][et_pb_text _builder_version=\u00bb4.27.5″ text_font=\u00bb||||||||\u00bb text_font_size=\u00bb15px\u00bb text_line_height=\u00bb2em\u00bb header_font=\u00bb||||||||\u00bb header_2_font=\u00bb||||||||\u00bb header_3_font=\u00bbEB Garamond||||||||\u00bb header_3_font_size=\u00bb24px\u00bb header_3_line_height=\u00bb1.4em\u00bb header_4_font=\u00bb|700||on|||||\u00bb header_4_text_color=\u00bb#ffdaa4″ header_4_font_size=\u00bb12px\u00bb header_4_letter_spacing=\u00bb2px\u00bb header_4_line_height=\u00bb2em\u00bb text_line_height_tablet=\u00bb\u00bb text_line_height_phone=\u00bb1.6em\u00bb text_line_height_last_edited=\u00bbon|phone\u00bb locked=\u00bboff\u00bb global_colors_info=\u00bb{}\u00bb]<\/p>\n
Figura 5: Electrocardiograma d\u00eda seis post quir\u00fargico<\/strong><\/p>\n[\/et_pb_text][et_pb_image src=\u00bbhttps:\/\/villavicencio.org.ar\/anuario\/wp-content\/uploads\/2026\/02\/Pericarditis5.jpg\u00bb title_text=\u00bbPericarditis\u00bb align=\u00bbcenter\u00bb _builder_version=\u00bb4.27.5″ _module_preset=\u00bbdefault\u00bb global_colors_info=\u00bb{}\u00bb][\/et_pb_image][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=\u00bb1″ admin_label=\u00bbCourses\u00bb _builder_version=\u00bb4.16″ custom_padding=\u00bb1px|0px|62px|0px|false|false\u00bb collapsed=\u00bboff\u00bb global_colors_info=\u00bb{}\u00bb][et_pb_row custom_padding_last_edited=\u00bbon|phone\u00bb _builder_version=\u00bb4.27.5″ background_color=\u00bb#ffffff\u00bb max_width=\u00bb1280px\u00bb custom_padding=\u00bb12px|40px|12px|40px|true|false\u00bb custom_padding_tablet=\u00bb\u00bb custom_padding_phone=\u00bb|20px||20px||true\u00bb animation_style=\u00bbzoom\u00bb animation_intensity_zoom=\u00bb2%\u00bb border_radii=\u00bbon|12px|12px|12px|12px\u00bb box_shadow_style=\u00bbpreset1″ box_shadow_vertical=\u00bb50px\u00bb box_shadow_blur=\u00bb80px\u00bb box_shadow_color=\u00bbrgba(15,19,25,0.1)\u00bb use_custom_width=\u00bbon\u00bb custom_width_px=\u00bb1280px\u00bb global_colors_info=\u00bb{}\u00bb][et_pb_column type=\u00bb4_4″ _builder_version=\u00bb4.16″ custom_padding=\u00bb|||\u00bb global_colors_info=\u00bb{}\u00bb custom_padding__hover=\u00bb|||\u00bb][et_pb_text _builder_version=\u00bb4.27.5″ text_font=\u00bb||||||||\u00bb text_font_size=\u00bb12px\u00bb text_line_height=\u00bb2em\u00bb header_font=\u00bb||||||||\u00bb header_2_font=\u00bb||||||||\u00bb header_3_font=\u00bbEB Garamond||||||||\u00bb header_3_font_size=\u00bb24px\u00bb header_3_line_height=\u00bb1.4em\u00bb header_4_font=\u00bb|700||on|||||\u00bb header_4_text_color=\u00bb#ffdaa4″ header_4_font_size=\u00bb12px\u00bb header_4_letter_spacing=\u00bb2px\u00bb header_4_line_height=\u00bb2em\u00bb text_line_height_tablet=\u00bb\u00bb text_line_height_phone=\u00bb1.6em\u00bb text_line_height_last_edited=\u00bbon|phone\u00bb locked=\u00bboff\u00bb global_colors_info=\u00bb{}\u00bb] 1.\tLe Winter MM, Tischler MD. Pericardial disease, Braunwald’s heart disease: a textbook of cardiovascular medicine. 9th ed. Philadelphia: Elsevier Saunders; 2012.
\n 2.\tGentili M, Bonaccorsi H. Pericarditis aguda en las primeras horas luego de una cirug\u00eda cardiaca. Una necesaria y urgente diferencia con la isquemia mioc\u00e1rdica. Rev Fed Arg Cardiol. 2024;53:46-48.
\n 3.\tCalabrese GV, Doglioti A, Bonaccorsi H. Pericarditis precoz en el postoperatorio de cirug\u00eda cardiovascular. Rev Fed Arg Cardiol. 2002;31:303-308.
\n 4.\tBusada MA, Cody J, Cormican D. Hyperacute postpericardiotomy pericarditis following coronary artery bypass grafting. J Cardiothorac Vasc Anesth. 2019;33:1799-1800.
\n 5.\tBarthe BM. Liberaci\u00f3n de troponina T ultrasensible luego de cirug\u00eda de revascularizaci\u00f3n mioc\u00e1rdica. Anuario (Fund. Dr. J. R. Villavicencio). 2025;32. Disponible en https:\/\/villavicencio.org.ar\/anuario\/32-liberacion-de-troponina
\n 6.\tSpodick DH. Pericarditis, pericardial effusion, cardiac tamponade and constriction. Crit Care Clin. 1989;5:455-476.[\/et_pb_text][et_pb_text _builder_version=\u00bb4.24.2″ text_font=\u00bb||||||||\u00bb text_font_size=\u00bb15px\u00bb text_line_height=\u00bb2em\u00bb header_font=\u00bb||||||||\u00bb header_2_font=\u00bb||||||||\u00bb header_3_font=\u00bbEB Garamond||||||||\u00bb header_3_font_size=\u00bb24px\u00bb header_3_line_height=\u00bb1.4em\u00bb header_4_font=\u00bb|700||on|||||\u00bb header_4_text_color=\u00bb#ffdaa4″ header_4_font_size=\u00bb12px\u00bb header_4_letter_spacing=\u00bb2px\u00bb header_4_line_height=\u00bb2em\u00bb text_line_height_tablet=\u00bb\u00bb text_line_height_phone=\u00bb1.6em\u00bb text_line_height_last_edited=\u00bbon|phone\u00bb global_colors_info=\u00bb{}\u00bb][\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section]<\/p>\n","protected":false},"excerpt":{"rendered":"
Introducci\u00f3n: La afectaci\u00f3n peric\u00e1rdica inflamatoria de comienzo agudo post-cirug\u00eda card\u00edaca se clasifica en precoz (injuria mec\u00e1nica o qu\u00edmica, dentro de las primeras 24-48 horas) o s\u00edndrome post-cardiotom\u00eda (mecanismo inmunol\u00f3gico, d\u00edas a meses). La forma precoz plantea un diagn\u00f3stico diferencial cr\u00edtico con la isquemia mioc\u00e1rdica postoperatoria, especialmente tras la cirug\u00eda de revascularizaci\u00f3n mioc\u00e1rdica. <\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_et_pb_use_builder":"on","_et_pb_old_content":"","_et_gb_content_width":"","footnotes":""},"categories":[47,49],"tags":[48],"class_list":["post-2103","post","type-post","status-publish","format-standard","hentry","category-47","category-a33-presentacion-de-casos-clinicos","tag-anuario-33-2025"],"_links":{"self":[{"href":"https:\/\/villavicencio.org.ar\/anuario\/wp-json\/wp\/v2\/posts\/2103","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/villavicencio.org.ar\/anuario\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/villavicencio.org.ar\/anuario\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/villavicencio.org.ar\/anuario\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/villavicencio.org.ar\/anuario\/wp-json\/wp\/v2\/comments?post=2103"}],"version-history":[{"count":7,"href":"https:\/\/villavicencio.org.ar\/anuario\/wp-json\/wp\/v2\/posts\/2103\/revisions"}],"predecessor-version":[{"id":2189,"href":"https:\/\/villavicencio.org.ar\/anuario\/wp-json\/wp\/v2\/posts\/2103\/revisions\/2189"}],"wp:attachment":[{"href":"https:\/\/villavicencio.org.ar\/anuario\/wp-json\/wp\/v2\/media?parent=2103"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/villavicencio.org.ar\/anuario\/wp-json\/wp\/v2\/categories?post=2103"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/villavicencio.org.ar\/anuario\/wp-json\/wp\/v2\/tags?post=2103"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}