Perioperative arrhythmia prophylaxis for major lung resection

Daniela Molena, David Amar, Bernard J. Park

Research output: Chapter in Book/Report/Conference proceedingChapter

Abstract

Perioperative arrhythmia is one of the most common complications following general thoracic surgery. The most common types are atrial fibrillation, supraventricular tachycardia, atrial flutter and premature ventricular contractions. Sustained ventricular tachyarrhythmias are very rare after thoracic surgery and will not be discussed in this chapter. The reported incidence of postoperative supraventricular arrhythmias ranges between 4-33%, and onset typically peaks within the first 3 postoperative days.1 Although considered by some a minor, self-limited event, perioperative arrhythmia has been shown in recent studies to be associated with greater numbers of complications, longer hospital stays, and increased overall hospital costs.2-7 Furthermore, when arrhythmias persist or are recurrent, the risk of thromboembolic events, including stroke or transient neurological injury, increases. This warrants anticoagulation that can lead to bleeding complications and increased healthcare expenditures.

Original languageEnglish (US)
Title of host publicationDifficult Decisions in Thoracic Surgery (Second Edition): An Evidence-Based Approach
PublisherSpringer London
Pages171-177
Number of pages7
ISBN (Print)9781849963640
DOIs
StatePublished - 2011
Externally publishedYes

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ASJC Scopus subject areas

  • Medicine(all)

Cite this

Molena, D., Amar, D., & Park, B. J. (2011). Perioperative arrhythmia prophylaxis for major lung resection. In Difficult Decisions in Thoracic Surgery (Second Edition): An Evidence-Based Approach (pp. 171-177). Springer London. https://doi.org/10.1007/978-1-84996-492-0_19