TY - JOUR
T1 - New-onset postoperative atrial fibrillation after heart surgery
AU - Gudbjartsson, Tomas
AU - Helgadottir, Solveig
AU - Sigurdsson, Martin Ingi
AU - Taha, Amar
AU - Jeppsson, Anders
AU - Christensen, Thomas Decker
AU - Riber, Lars Peter Schoedt
N1 - © 2019 The Acta Anaesthesiologica Scandinavica Foundation. Published by John Wiley & Sons Ltd.
PY - 2020/2
Y1 - 2020/2
N2 - BACKGROUND: New-onset postoperative atrial fibrillation (poAF) complicates approximately 20-60% of all cardiac surgical procedures and is associated with an increased periprocedural mortality and morbitity, prolonged hospital stay, increased costs, and worse long-term survival. Unfortunately multiple advances in surgery and perioperative care over the last two decades have not led to a reduction in the incidence of poAF or associated complications in the daily clinical practice.METHODS: A narrative review of the available literature was performed.RESULTS: An extensive review of the pathophysiology of poAF following cardiac surgery, clinical, and procedural risk-factors is provided, as well as prophylactic measures and treatment.CONCLUSION: Multiple strategies to prevent and manage poAF following heart surgery already exist. Our hope is that this review will facilitate more rigorous testing of prevention strategies, implementation of prophylaxis regimens as well as optimal treatment of this common and serious complication.
AB - BACKGROUND: New-onset postoperative atrial fibrillation (poAF) complicates approximately 20-60% of all cardiac surgical procedures and is associated with an increased periprocedural mortality and morbitity, prolonged hospital stay, increased costs, and worse long-term survival. Unfortunately multiple advances in surgery and perioperative care over the last two decades have not led to a reduction in the incidence of poAF or associated complications in the daily clinical practice.METHODS: A narrative review of the available literature was performed.RESULTS: An extensive review of the pathophysiology of poAF following cardiac surgery, clinical, and procedural risk-factors is provided, as well as prophylactic measures and treatment.CONCLUSION: Multiple strategies to prevent and manage poAF following heart surgery already exist. Our hope is that this review will facilitate more rigorous testing of prevention strategies, implementation of prophylaxis regimens as well as optimal treatment of this common and serious complication.
KW - etiology
KW - open heart surgery
KW - outcome
KW - postoperative atrial fibrillation
KW - review
KW - risk factors
KW - survival
U2 - 10.1111/aas.13507
DO - 10.1111/aas.13507
M3 - Journal article
C2 - 31724159
SN - 0001-5172
VL - 64
SP - 145
EP - 155
JO - Acta Anaesthesiologica Scandinavica
JF - Acta Anaesthesiologica Scandinavica
IS - 2
ER -