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Funding Acknowledgements Type of funding sources: None. Purpose to evaluate the frequency of perioperative atrial fibrillation in patients with postoperative signs of systemic congestion. Methods we examined 102 patients who underwent cardiac monitoring in the perioperative period to detect episodes of atrial fibrillation and focused echocardiography to detect signs of systemic congestion. All patients underwent abdominal surgery lasting more than 180 minutes.Clinical, laboratory, and echocardiographic criteria were used to verify systemic stagnation in the postoperative period in patients after non-cardiac surgery. Results we determined the number of patients with perioperative AF who had acute decompensation of HF in the early postoperative period, determined by signs of systemic stagnation. When assessing the number of patients with preoperative anamnestic AF, which was initially 16 people, in 100% of cases in the postoperative period, decompensation of HF was noted. When evaluating the number of patients with intraoperative AF, which was detected in 24 patients, decompensation of HF in the first 24 hours after abdominal surgery was observed in 23 patients (95.8%) (OR: 25.4; 95% CI: 3.27-198.14; p &amp;lt;0.001). When assessing the number of patients with postoperative AF, which was detected in 36 patients, decompensation of HF in the first 24 hours after abdominal surgery was observed in 35 patients (97.2%) (OR:57.4;95% CI:7.39-435.45; p &amp;lt;0.001). Conclusion in major non-cardiac operations, most patients with perioperative atrial fibrillation show signs of systemic stagnation in the postoperative period with FOCUS.

Signs of congestion in patients with perioperative atrial fibrillation in major noncardiac surgery