TY - JOUR
T1 - Atrial fibrillation after cardiac surgery
T2 - An evidence-based approach to prevention
AU - Kailasam, Rajagopal
AU - Palin, Christopher A.
AU - Hogue, Charles W.
PY - 2005/3
Y1 - 2005/3
N2 - A number of advances in surgical and anesthetic techniques have reduced the risk for patients undergoing cardiac surgery. However, postoperative atrial fibrillation remains common, with an incidence ranging between 25% and 40%. It is associated with an increased incidence of congestive heart failure, renal insufficiency, and stroke that prolongs hospitalization and increases rates of readmission after discharge. Consequently, there has been great interest in strategies to prevent this arrhythmia. When both safety and efficacy are considered, the available evidence to date suggests that only β-blockers can be recommended for the prevention of atrial fibrillation after cardiac surgery. Other treatments might be considered on an individual basis after careful consideration of the patient's potential for side effects.
AB - A number of advances in surgical and anesthetic techniques have reduced the risk for patients undergoing cardiac surgery. However, postoperative atrial fibrillation remains common, with an incidence ranging between 25% and 40%. It is associated with an increased incidence of congestive heart failure, renal insufficiency, and stroke that prolongs hospitalization and increases rates of readmission after discharge. Consequently, there has been great interest in strategies to prevent this arrhythmia. When both safety and efficacy are considered, the available evidence to date suggests that only β-blockers can be recommended for the prevention of atrial fibrillation after cardiac surgery. Other treatments might be considered on an individual basis after careful consideration of the patient's potential for side effects.
UR - http://www.scopus.com/inward/record.url?scp=14744272427&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=14744272427&partnerID=8YFLogxK
U2 - 10.1177/108925320500900108
DO - 10.1177/108925320500900108
M3 - Review article
C2 - 15735846
AN - SCOPUS:14744272427
SN - 1089-2532
VL - 9
SP - 77
EP - 85
JO - Seminars in Cardiothoracic and Vascular Anesthesia
JF - Seminars in Cardiothoracic and Vascular Anesthesia
IS - 1
ER -