New-onset postoperative atrial fibrillation after heart surgery

Tomas Gudbjartsson, Solveig Helgadottir, Martin Ingi Sigurdsson, Amar Taha, Anders Jeppsson, Thomas Decker Christensen, Lars Peter Schoedt Riber

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Abstract

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.

Original languageEnglish
JournalActa Anaesthesiologica Scandinavica
Volume64
Issue number2
Pages (from-to)145-155
ISSN0001-5172
DOIs
Publication statusPublished - Feb 2020

Keywords

  • etiology
  • open heart surgery
  • outcome
  • postoperative atrial fibrillation
  • review
  • risk factors
  • survival

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