Amiodarone Protocol Provides Cost-Effective Reduction in Postoperative Atrial Fibrillation
نویسندگان
چکیده
منابع مشابه
Amiodarone for atrial fibrillation.
n engl j med 356;9 www.nejm.org march 1, 2007 935 This Journal feature begins with a case vignette that includes a therapeutic recommendation. A discussion of the clinical problem and the mechanism of benefit of this form of therapy follows. Major clinical studies, the clinical use of this therapy, and potential adverse effects are reviewed. Relevant formal guidelines, if they exist, are presen...
متن کاملTopical amiodarone during cardiac surgery: Does epicardial application of amiodarone prevent postoperative atrial fibrillation?
OBJECTIVES Atrial fibrillation (AF) is a common complication after cardiac surgery. Topical amiodarone on the epicardium may help prevent postoperative AF while avoiding the side effects of its systemic administration. The purpose of this study was to evaluate the all-comer strategy of epicardial amiodarone application for the prevention of postoperative AF. METHODS A retrospective observatio...
متن کاملPostoperative Atrial Fibrillation
Postoperative atrial fibrillation (POAF) is common among surgical patients and associated with a worse outcome. Pathophysiology of POAF is not fully disclosed, and several perioperative factors could be involved. Direct cardiac stimulation from perioperative use of catecholamines or increased sympathetic outflow from volume loss/anaemia/pain may play a role. Metabolic alterations, such as hypo-...
متن کاملAmiodarone versus sotalol for atrial fibrillation.
BACKGROUND The optimal pharmacologic means to restore and maintain sinus rhythm in patients with atrial fibrillation remains controversial. METHODS In this double-blind, placebo-controlled trial, we randomly assigned 665 patients who were receiving anticoagulants and had persistent atrial fibrillation to receive amiodarone (267 patients), sotalol (261 patients), or placebo (137 patients) and ...
متن کاملConsiderations for the success of topical amiodarone to prevent postoperative atrial fibrillation.
600 The Journ one in the perioperative period prevents postoperative AF; however, its challenging side-effect profile limits its routine and widespread use as prophylaxis. It was therefore with great interest that we recently read the report by Feng and colleagues describing their success in applying a topical amiodarone-releasing hydrogel on the atrial surface during coronary artery bypass gra...
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ژورنال
عنوان ژورنال: The Annals of Thoracic Surgery
سال: 2018
ISSN: 0003-4975
DOI: 10.1016/j.athoracsur.2017.12.029