Fibrilación auricular posoperatoria. ¿Un lobo con piel de cordero?

Since an early age of heart surgery, atrial fibrillation has been a frequent companion the postoperative period, and its decline is not to be expected in near future.The interpretation clinical significance changed recent years, after knowing recurrent trend association with serious immediate long-term complications.This fact unveils new challenge, as it no longer minor problem consideration restricted perioperative period become topic concern follow-upin distant future, still uncertainties evolution management.The effective prophylaxis this arrhythmia difficult by multiplicity risk factors intricate genesis, added increasing patients involved, greater complexity procedures, possible side effects drugs used absence reliable predictive algorithm that could allow rationalizing preventive measures.In addition, many recommendations from current practice guidelines are based on information obtained studies primary fibrillation, so their adoption surgery scenario less than desirable.All these aspects analyzed review, which ends directives for practical management environment.