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Postoperative atrial fibrillation in non‐cardiac and cardiac surgery: an overview
Author(s) -
Bessissow A.,
Khan J.,
Devereaux P. J.,
AlvarezGarcia J.,
AlonsoCoello P.
Publication year - 2015
Publication title -
journal of thrombosis and haemostasis
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.947
H-Index - 178
eISSN - 1538-7836
pISSN - 1538-7933
DOI - 10.1111/jth.12974
Subject(s) - medicine , atrial fibrillation , cardiac surgery , cardiology , perioperative , cardiac arrhythmia , anesthesia
Summary Postoperative atrial fibrillation ( POAF ) is the most common perioperative cardiac arrhythmia. A major risk factor for POAF is advanced age, both in non‐cardiac and cardiac surgery. Following non‐cardiac surgery, it is important to correct reversible conditions such as electrolytes imbalances to prevent the occurrence of POAF . Management of POAF consists of rate control and therapeutic anticoagulation if POAF persists for > 48 h and CHADS 2 score > 2. After cardiac surgery, POAF affects a larger amount of patients. In addition to age, valve surgery carries the greatest risk for new AF . Rate control is the mainstay therapy in these patients. Prediction, prevention, and management of POAF should be further studied.