Postoperative atrial fibrillation in non-cardiac and cardiac surgery: an overview

被引：163

作者：

Bessissow, A. ^{[1
,2
]}

Khan, J. ^{[2
,3
]}

Devereaux, P. J. ^{[2
,4
,5
]}

Alvarez-Garcia, J. ^{[6
]}

Alonso-Coello, P. ^{[4
,5
,7
]}

机构：

[1] McGill Univ, Div Gen Internal Med, Ctr Hlth, Montreal, PQ, Canada

[2] Populat Hlth Res Inst, Perioperat Med & Surg Res Unit, Hamilton, ON, Canada

[3] Univ Toronto, Dept Anesthesia, Toronto, ON, Canada

[4] McMaster Univ, Dept Clin Epidemiol & Biostat, Hamilton, ON, Canada

[5] McMaster Univ, Dept Med, Hamilton, ON, Canada

[6] Univ Autonoma Barcelona, Dept Cardiol, Hosp Santa Creu & St Pau, E-08193 Barcelona, Spain

[7] Biomed Res Inst CIBERESP IIB St Pau, Iberoamer Cochrane Ctr, Barcelona, Spain

来源：

JOURNAL OF THROMBOSIS AND HAEMOSTASIS | 2015年 / 13卷

关键词：

atrial fibrillation; cardiac surgery; general surgery; postoperative period; review; RISK-FACTORS; THORACIC-SURGERY; CARDIOPULMONARY BYPASS; NATRIURETIC PEPTIDE; PREVENTION; ARRHYTHMIAS; MANAGEMENT; AMIODARONE; GUIDELINES; PREDICTOR;

D O I：

10.1111/jth.12974

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Postoperative atrial fibrillation (POAF) is the most common perioperative cardiac arrhythmia. A major risk factor for POAF is advanced age, both in non-cardiac and cardiac surgery. Following non-cardiac surgery, it is important to correct reversible conditions such as electrolytes imbalances to prevent the occurrence of POAF. Management of POAF consists of rate control and therapeutic anticoagulation if POAF persists for >48h and CHADS(2) score >2. After cardiac surgery, POAF affects a larger amount of patients. In addition to age, valve surgery carries the greatest risk for new AF. Rate control is the mainstay therapy in these patients. Prediction, prevention, and management of POAF should be further studied.

引用

页码：S304 / S312

页数：9

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