Atrial Fibrillation Following Coronary Artery Bypass Graft: Where Do We Stand?

被引：5
作者：
Tzoumas, Andreas [1 ]
Nagraj, Sanjana [2 ]
Tasoudis, Panagiotis [3 ]
Arfaras-Melainis, Angelos [2 ]
Palaiodimos, Leonidas [2 ]
Kokkinidis, Damianos G. [4 ]
Kampaktsis, Polydoros N. [5 ]
机构：
[1] Aristotle Univ Thessaloniki, Thessaloniki 54124, Greece
[2] Albert Einstein Coll Med, Jacobi Med Ctr, 1400 Pelham Pkwy S, The Bronx, NY 10461 USA
[3] Larissa Univ Hosp, Sch Hlth Sci, Larisa, Greece
[4] Yale Univ, Yale New Haven Hosp, Sect Cardiovasc Med, Sch Med, 333 Cedar St, New Haven, CT USA
[5] NYU, Div Cardiol, Langone Med Ctr, 550 1st Ave, New York, NY USA
来源：
CARDIOVASCULAR REVASCULARIZATION MEDICINE | 2022年 / 40卷
关键词：
Atrial fibrillation; Cardiac revascularization; Postoperative arrhythmia; CABG; LONG-TERM MORTALITY; CARDIAC-SURGERY; SUPRAVENTRICULAR ARRHYTHMIAS; MYOCARDIAL-INFARCTION; DOUBLE-BLIND; OFF-PUMP; PREVENTION; IMPACT; RISK; METAANALYSIS;
D O I：
10.1016/j.carrev.2021.12.006
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
Atrial fibrillation (AF) is the most common atrial arrhythmia following coronary artery bypass graft (CABG). Its prevalence is 15-45% and is associated with poor long-term prognosis. Risk factors can be patient-related, intraoperative, and/or postoperative. Therapeutic and preventive strategies have been developed to curtail AF burden. Cardioversion is recommended for unstable or symptomatic patients and rate control if asymptomatic. Anticoagulation is challenging with risk of thromboembolism and bleeding. However, patients should be anticoagulated after cardioversion or if AF persists >48 h and risk factors of stroke exist. A minimum of 4 weeks is recommended but longer duration should be considered in patients at high risk of stroke irrespective of recurrence of AF. (c) 2021 Elsevier Inc. All rights reserved.
引用
收藏
页码：172 / 179
页数：8
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