NDLI: Prevention of atrial fibrillation after cardiac surgery.

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Prevention of atrial fibrillation after cardiac surgery.

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Lung volume reduction surgery: nonpharmacological approach.

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Thoracic anesthesia.

Bibliography. Current world literature. Thoracic anesthesia.

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Prevention of atrial fibrillation after cardiac surgery.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Passannante, Anthony N.
Description	Country affiliation: United States Author Affiliation: Passannante AN ( Department of Anesthesiology, University of North Carolina at Chapel Hill, West Wing UNC Hospitals, Chapel Hill, North Carolina 27599-7010, USA. apassannante@aims.unc.edu)
Abstract	PURPOSE OF REVIEW: Atrial fibrillation after cardiac surgery remains a very common and vexing clinical problem. This review summarizes recent clinical and laboratory investigations, the results of which may lead to a more effective strategy for the prevention of atrial fibrillation after cardiac surgery. RECENT FINDINGS: The incidence of atrial fibrillation after cardiac surgery remains high (60% in some series), and there is no single strategy that reliably prevents it. Age, prior history, valvular surgery, and left atrial pathology and dysfunction are associated with the development of postoperative atrial fibrillation. Mortality in patients who develop new-onset atrial fibrillation after cardiac surgery is increased. Drug treatment with beta-blockers, amiodarone, statins, steroids, magnesium, and sotalol can be effective in preventing postoperative atrial fibrillation. Current guidelines for the prevention of postoperative atrial fibrillation are underutilized, which offers an opportunity for improvement. A new drug, vernakalant, has proved effective and well tolerated for chemical conversion of atrial fibrillation after cardiac surgery to sinus rhythm. SUMMARY: Atrial fibrillation after cardiac surgery remains a dysrhythmia with significant implications. A more comprehensive, multimodal preventive strategy, using preoperative beta-blockers and statins, perioperative magnesium and steroids, and preoperative amiodarone in high-risk patients should be rigorously evaluated.
File Format	HTM / HTML
ISSN	09527907
Issue Number	1
Volume Number	24
e-ISSN	14736500
Journal	Current Opinion in Anaesthesiology
Language	English
Publisher	Lippincott Williams & Wilkins
Publisher Date	2011-02-01
Publisher Place	United States
Access Restriction	One Nation One Subscription (ONOS)
Subject Keyword	Discipline Anesthesiology Atrial Fibrillation Prevention & Control Cardiac Surgical Procedures Adverse Effects Postoperative Complications Therapy Humans Hydroxymethylglutaryl-coa Reductase Inhibitors Therapeutic Use Magnesium Journal Article Review
Content Type	Text
Resource Type	Article
Subject	Anesthesiology and Pain Medicine

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