<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1726-8958</journal-id>
<journal-title><![CDATA[Revista Médica La Paz]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. Méd. La Paz]]></abbrev-journal-title>
<issn>1726-8958</issn>
<publisher>
<publisher-name><![CDATA[Colegio Médico de La Paz]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1726-89582025000100093</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[PERICARDITIS CONSTRICTIVA]]></article-title>
<article-title xml:lang="en"><![CDATA[CONSTRICTIVE PERICARDITIS]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Peña y Lillo Telleria]]></surname>
<given-names><![CDATA[Abel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Academia Boliviana de Cirugía Académico de Número ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>00</month>
<year>2025</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>00</month>
<year>2025</year>
</pub-date>
<volume>31</volume>
<numero>1</numero>
<fpage>93</fpage>
<lpage>102</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.bo/scielo.php?script=sci_arttext&amp;pid=S1726-89582025000100093&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.bo/scielo.php?script=sci_abstract&amp;pid=S1726-89582025000100093&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.bo/scielo.php?script=sci_pdf&amp;pid=S1726-89582025000100093&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN La Pericarditis Constrictiva es la forma más frecuente de pericarditis crónica y se caracteriza por dificultad en el llenado ventricular derecho hacia el final de la diástole, debido a la compresión del corazón por el pericardio engrosado/calcificado y por ende rígido o muy poco distensible, como consecuencia de una reacción fibrosa-retráctil habitualmente progresiva, causada por diferentes noxas. Su diagnóstico deviene de la participación de dos elementos: la clínica, que fundamentalmente corresponde a insuficiencia ventricular derecha; y por la información obtenida mediante estudios de imagen, donde la ecocardiografía cardíaca se constituye en el método de primera línea para la caracterización fisiopatológica y evaluación hemodinámica, por su disponibilidad, bajo costo y versatilidad. La tomografía cardiaca permite una caracterización anatómica, evaluar estructuras adyacentes y definir la resección quirúrgica. La resonancia magnética cardiaca y el cateterismo para estudio hemodinámico, son útiles en casos mixtos o con diagnóstico inconcluso. El tratamiento apropiado corresponde a cirugía: pericardiectomía subtotal precoz, preferentemente con abordaje por esternotomía media y sin apoyo de circulación extracorpórea.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT Constrictive Pericarditis is the most common form of chronic pericarditis and is characterized by difficulty in right ventricular filling towards the end of diastole, due to the compression of the heart by the thickened/ calcified pericardium and therefore rigid or very little distensible, as consequence of a usually progressive fibrous-retractile reaction, caused by different noxas. Its diagnosis comes from the participation of two elements: the clinical picture, which fundamentally corresponds to right ventricular failure; and by the Information obtained through imaging studies, where cardiac echocardiography is the first-line method for pathophysiological characterization and hemodynamic evaluation, due to its availability, low cost and versatility. Cardiac tomography allows anatomical characterization, evaluation of adjacent structures and definition of surgical resection. Cardiac magnetic resonance imaging and catheterization for hemodynamic study are useful in mixed cases or with inconclusive diagnosis. The appropriate treatment corresponds to surgery: early subtotalpericardiectomy, preferably with a median sternotomy approach and without extracorporeal circulation support.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Pericarditis constrictiva]]></kwd>
<kwd lng="es"><![CDATA[Calcificación pericárdica]]></kwd>
<kwd lng="es"><![CDATA[Disfunción diastólica]]></kwd>
<kwd lng="es"><![CDATA[Insuficiencia cardiaca]]></kwd>
<kwd lng="es"><![CDATA[Pericardiectomía]]></kwd>
<kwd lng="en"><![CDATA[Constrictive pericarditis]]></kwd>
<kwd lng="en"><![CDATA[Pericardial calcification]]></kwd>
<kwd lng="en"><![CDATA[Diastolic dysfunción]]></kwd>
<kwd lng="en"><![CDATA[Heart failure]]></kwd>
<kwd lng="en"><![CDATA[Pericardiectomy]]></kwd>
</kwd-group>
</article-meta>
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