Prevention of atrial fibrillation after cardiac surgery

被引:14
|
作者
Tapio, Hakala
Jari, Halonen
Kimmo, Makinen
Juha, Hartikainen
机构
[1] Kuopio Univ Hosp, Dept Surg, Kuopio 70211, Finland
[2] N Karelia Cent Hosp, Dept Surg, Joensuu 80210, Finland
[3] Kuopio Univ Hosp, Dept Med, Kuopio 70211, Finland
关键词
cardiac surgery; arrhythmia; atrial fibrillation; prophylaxis;
D O I
10.1080/14017430601054076
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Atrial fibrillation is the most common arrhythmia occurring after heart surgery. Its prevalence after coronary artery bypass surgery is 17-33%. Atrial fibrillation requires additional treatment, lengthens hospitalization and increases the overall expenses of cardiac surgery. Atrial fibrillation can cause hemodynamic problems, predispose to congestive heart failure and increase the risk of stroke. Beta-blockers have been shown to effectively prevent atrial fibrillation, and beta-blockers should be a part of the medication of every patient undergoing cardiac surgery, if there are no contraindications. Amiodarone therapy can also be considered for especially high-risk patients.
引用
收藏
页码:72 / 78
页数:7
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