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Atrial Fibrillation after Cardiac Surgery: Where are we now?

OBJECTIVE: To review: 1) Pathophysiology of postoperative atrial fibrillation (POAF); 2) Risk factors for POAF; 3) Prophylaxis of POAF; 4) Treatment of POAF; and 5) Future directions. METHODS: We searched the Medline database for articles published between January, 1966 to September, 2008. We used t...

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Detalles Bibliográficos
Autores principales: Patel, Dimpi, Gillinov, Marc A, Natale, Andrea
Formato: Texto
Lenguaje:English
Publicado: Indian Heart Rhythm Society 2008
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2572025/
https://www.ncbi.nlm.nih.gov/pubmed/18982137
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author Patel, Dimpi
Gillinov, Marc A
Natale, Andrea
author_facet Patel, Dimpi
Gillinov, Marc A
Natale, Andrea
author_sort Patel, Dimpi
collection PubMed
description OBJECTIVE: To review: 1) Pathophysiology of postoperative atrial fibrillation (POAF); 2) Risk factors for POAF; 3) Prophylaxis of POAF; 4) Treatment of POAF; and 5) Future directions. METHODS: We searched the Medline database for articles published between January, 1966 to September, 2008. We used the following keywords: Atrial fibrillation, Postoperative atrial fibrillation, Coronary Artery Bypass, and antiarrhythmic agents. Additionally, we searched references from all relevant articles. CONCLUSIONS: POAF occurs in 25-60% of patients depending on the type of cardiac surgery performed. POAF generally occurs on postoperative day 2 or 3. POAF is associated with an increased risk of morbidity and mortality, and longer hospital stay. Prophylactic treatments reduce the likelihood of POAF. In patients who experience POAF, rhythm strategies should be used in those who are symptomatic and hemodynamically unstable. All other patients should be managed with rate strategies.
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spelling pubmed-25720252008-11-03 Atrial Fibrillation after Cardiac Surgery: Where are we now? Patel, Dimpi Gillinov, Marc A Natale, Andrea Indian Pacing Electrophysiol J Review Article OBJECTIVE: To review: 1) Pathophysiology of postoperative atrial fibrillation (POAF); 2) Risk factors for POAF; 3) Prophylaxis of POAF; 4) Treatment of POAF; and 5) Future directions. METHODS: We searched the Medline database for articles published between January, 1966 to September, 2008. We used the following keywords: Atrial fibrillation, Postoperative atrial fibrillation, Coronary Artery Bypass, and antiarrhythmic agents. Additionally, we searched references from all relevant articles. CONCLUSIONS: POAF occurs in 25-60% of patients depending on the type of cardiac surgery performed. POAF generally occurs on postoperative day 2 or 3. POAF is associated with an increased risk of morbidity and mortality, and longer hospital stay. Prophylactic treatments reduce the likelihood of POAF. In patients who experience POAF, rhythm strategies should be used in those who are symptomatic and hemodynamically unstable. All other patients should be managed with rate strategies. Indian Heart Rhythm Society 2008-11-01 /pmc/articles/PMC2572025/ /pubmed/18982137 Text en Copyright: © 2008 Patel et al. http://creativecommons.org/licenses/by/2.5/ This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Review Article
Patel, Dimpi
Gillinov, Marc A
Natale, Andrea
Atrial Fibrillation after Cardiac Surgery: Where are we now?
title Atrial Fibrillation after Cardiac Surgery: Where are we now?
title_full Atrial Fibrillation after Cardiac Surgery: Where are we now?
title_fullStr Atrial Fibrillation after Cardiac Surgery: Where are we now?
title_full_unstemmed Atrial Fibrillation after Cardiac Surgery: Where are we now?
title_short Atrial Fibrillation after Cardiac Surgery: Where are we now?
title_sort atrial fibrillation after cardiac surgery: where are we now?
topic Review Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2572025/
https://www.ncbi.nlm.nih.gov/pubmed/18982137
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