(LUPV to LSVC to CS was repaired)
Baseline EKG (EKG #1) is unremarkable for immediate postop.
EKG #1
![](https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgzbH3tVhNNuI7ZDJMQz6feUaqqJkDCsLDAY-X4HExA2FUS9BuTFBnAlG9TsDvkzB5EI7ONYTWsLLGU5Io6jDROA74yCTOd4XuSt2m5Zty_VZhuVkQsPtAfLaAMSc4VswBkNYOrkQ/s400/Ramos1Baseline.jpg)
Approx. 10 hrs later, ST segment elevation was noted in monitor. Therefore, EKG was repeated. No complaints from patient.
Next morning: EKG was improving
EKG #3
![](https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjaI2-AQID5Uhr0Q6GeKb5ETD3il44DxV7SI5Qf4WLbl29f0jDGXvwr2joZ6ZkoIJ4H7cRalPjT3e_fymojKDPagMxtehZcHdywVaqvzCv6l1BvGyJ7dDibof96Mx7aBurI_LE9kg/s400/Ramos3nextDay.jpg)
Questions:
Is this pericarditis, developing in ~10 hrs after conclusion of surgery?
Why don't we see it in more postop. patients?
Also, see posting titled "ICU - Postop. chest pain"
2 comments:
looks to be in the cx territory. It didn't get better, it just didn't get worse. Any bleeding post op?
"Some bleeding" in the first 1-2 hrs after coming out of operating room. Bleeding decreased with control of hypertension with Nitroprusside infusion.
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