Atrial fibrillation after cardiac surgery: An evidence-based approach to prevention

Rajagopal Kailasam, Christopher A. Palin, Charles W. Hogue

Research output: Contribution to journalReview article

Abstract

A number of advances in surgical and anesthetic techniques have reduced the risk for patients undergoing cardiac surgery. However, postoperative atrial fibrillation remains common, with an incidence ranging between 25% and 40%. It is associated with an increased incidence of congestive heart failure, renal insufficiency, and stroke that prolongs hospitalization and increases rates of readmission after discharge. Consequently, there has been great interest in strategies to prevent this arrhythmia. When both safety and efficacy are considered, the available evidence to date suggests that only β-blockers can be recommended for the prevention of atrial fibrillation after cardiac surgery. Other treatments might be considered on an individual basis after careful consideration of the patient's potential for side effects.

Original languageEnglish (US)
Pages (from-to)77-85
Number of pages9
JournalSeminars in Cardiothoracic and Vascular Anesthesia
Volume9
Issue number1
DOIs
StatePublished - Mar 1 2005

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Anesthesiology and Pain Medicine

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