Postoperative atrial fibrillation following cardiac surgery: a persistent complication

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Postoperative atrial fibrillation after cardiac surgery.

Atrial fibrillation (AF) is an arrhythmia frequently seen in the postoperative period of cardiac surgery. In this context, it is associated with the presence of comorbidities, longer length of hospital stay, and higher costs related to surgery. The mechanisms involved in the genesis of AF in the postoperative period of cardiac surgery (AFPO) are different from those causing paroxysmal AF. Knowl...

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Management and Prevention of Postoperative Atrial Fibrillation After Cardiac Surgery

New-onset postoperative atrial fibrillation is a common complication, occurring in 30% of patients after coronary artery bypass and in as many as 50% to 60% of patients after combined coronary and valve procedures. Postoperative atrial fibrillation is associated with increased risk of additional complications, including stroke, increased hospitalization time, and increased costs [1–4]. Because ...

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Postoperative atrial fibrillation after cardiac surgery: who should receive chemoprophylaxis?

To evaluate arrhythmogenic risk factors associated with greater incidence of postoperative atrial fibrillation (POAF) in patients undergoing cardiac surgery (CABG and/or valvular surgery) in order to identify those more prone to the development of this arrhythmia for possible chemoprophylaxis. Sixty-six patients who underwent elective cardiac surgery were assessed. The following risk factors fo...

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Effect of statins in preventing postoperative atrial fibrillation following cardiac surgery.

BACKGROUND Postoperative occurrence of AF has been associated with less favourable outcomes in patients undergoing cardiac surgery and may result in increased postoperative morbidity and mortality. OBJECTIVES A focused clinical question was designed and a meta-analysis of published studies was performed to identify the effect of preoperative use of statins on the occurrence of AF after cardia...

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New Insights into the Mechanisms and Risk Factors of Postoperative Atrial Fibrillation following Cardiac Surgery

Postoperative atrial fibrillation (POAF) following cardiac surgery represents a common, potentially morbid, and often misunderstood complication. Patients who develop POAF incur an increased cost of care, a prolonged hospital stay, and are at a higher risk for numerous adverse outcomes, including renal and respiratory failure, cardiac arrest, stroke, and death. The etiology of POAF is multifact...

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ژورنال

عنوان ژورنال: European Journal of Cardio-Thoracic Surgery

سال: 2017

ISSN: 1010-7940,1873-734X

DOI: 10.1093/ejcts/ezx039