Preventive strategies for atrial fibrillation after cardiac surgery in Nordic countries

Martin Maaroos, R. Tuomainen, J. Price, F. D. Rubens, R. L. Jideus, J. Halonen, J. Hartikainen, T. Hakala

Research output: Contribution to journalArticle

Abstract

Background and Aims: Atrial fibrillation is a common arrhythmia after cardiac surgery. It increases morbidity, length of hospital stay, and costs of operative treatment. Beta-blockers, sotalol, amiodarone, corticosteroids, and biatrial pacing have been shown to be efficient in the prevention of postoperative atrial fibrillation. The aim of this study was to find out how widely different prophylactic strategies for postoperative atrial fibrillation are used in Scandinavian countries. Material and Methods: An online link for a questionnaire was emailed to (214) cardiac surgeons in Finland, Sweden, Norway, Denmark, and Estonia to assess the use of prophylactic methods for postoperative atrial fibrillation. Results: A total of 97 surgeons responded to the survey. Oral beta-blockers were routinely used for atrial fibrillation prophylaxis by 62% of responders. The main reasons for nonuse of beta-blockers were that responders were unconvinced of the evidence of benefit or they preferred some alternative prophylaxis. Intravenous beta-blockers were used frequently by 6% of responders. Amiodarone was used for prophylaxis by 18% of responders. Nonusers were unconvinced of its efficacy, were afraid of its complications, or found its use too cumbersome. Other prophylactic atrial fibrillation strategies that were used are as follows: sotalol by 2%, magnesium by 17%, corticosteroids by 1%, and atrial pacing by 11% of respondents. Conclusions: There is still widely varying implementation of strategies for atrial fibrillation prophylaxis among Scandinavian cardiac surgeons. Lack of confidence in the efficacy of these approaches is the main rationale for nonimplementation.

Original languageEnglish (US)
Pages (from-to)178-181
Number of pages4
JournalScandinavian Journal of Surgery
Volume102
Issue number3
DOIs
StatePublished - 2013
Externally publishedYes

Fingerprint

Scandinavian and Nordic Countries
Atrial Fibrillation
Thoracic Surgery
Sotalol
Amiodarone
Length of Stay
Adrenal Cortex Hormones
Estonia
Hospital Costs
Denmark
Finland
Norway
Sweden
Magnesium
Cardiac Arrhythmias
Morbidity

Keywords

  • Atrial fibrillation
  • Atrial pacing
  • Cardiac surgery
  • Complication
  • Medication
  • Prophylaxis
  • Surgery

ASJC Scopus subject areas

  • Surgery
  • Medicine(all)

Cite this

Maaroos, M., Tuomainen, R., Price, J., Rubens, F. D., Jideus, R. L., Halonen, J., ... Hakala, T. (2013). Preventive strategies for atrial fibrillation after cardiac surgery in Nordic countries. Scandinavian Journal of Surgery, 102(3), 178-181. https://doi.org/10.1177/1457496913492671

Preventive strategies for atrial fibrillation after cardiac surgery in Nordic countries. / Maaroos, Martin; Tuomainen, R.; Price, J.; Rubens, F. D.; Jideus, R. L.; Halonen, J.; Hartikainen, J.; Hakala, T.

In: Scandinavian Journal of Surgery, Vol. 102, No. 3, 2013, p. 178-181.

Research output: Contribution to journalArticle

Maaroos, M, Tuomainen, R, Price, J, Rubens, FD, Jideus, RL, Halonen, J, Hartikainen, J & Hakala, T 2013, 'Preventive strategies for atrial fibrillation after cardiac surgery in Nordic countries', Scandinavian Journal of Surgery, vol. 102, no. 3, pp. 178-181. https://doi.org/10.1177/1457496913492671
Maaroos, Martin ; Tuomainen, R. ; Price, J. ; Rubens, F. D. ; Jideus, R. L. ; Halonen, J. ; Hartikainen, J. ; Hakala, T. / Preventive strategies for atrial fibrillation after cardiac surgery in Nordic countries. In: Scandinavian Journal of Surgery. 2013 ; Vol. 102, No. 3. pp. 178-181.
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