| Atrial fibrillation post-cardiac surgery: changing perspectives. | |
| | |
MedLine Citation:
|
PMID: 16870069 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
Perioperative atrial fibrillation (AF) is one of the most frequent complications of cardiac surgery. Its development is associated with an increased morbidity and mortality, for example from perioperative stroke, as well as ventricular arrhythmias, postoperative myocardial infarction, congestive cardiac failure, renal failure, increased use of inotropic medications and the need for intra-aortic balloon pump. Furthermore, AF after cardiac surgery results in prolonged hospitalization after the procedure, as well as an excess utilization of hospital resources and increased hospital costs. Given the importance of AF for patient outcome, a wide variety of prophylactic pharmacologic strategies have been evaluated. The risk of post-operative AF should be reduced by the administration of amiodarone, a beta-blocker, sotalol or rate-limiting calcium antagonists. In addition, in patients undergoing cardiac surgery on pre-existing beta-blocker therapy, this treatment should be continued unless contraindications develop (such as post-operative bradycardia or hypotension). Unless contraindicated, a rhythm control strategy is recommended as the initial option for the treatment of post-operative AF following cardiothoracic surgery. More recently, some data regarding magnesium, statins and n-3 polyunsaturated fatty acids in reducing post-op AF are available. Clearly, perspectives are changing in our management of this common arrhythmia. |
| | |
Authors:
|
Eduard Shantsila; Timothy Watson; Gregory Y H Lip |
Related Documents
:
|
18325439 - Characterization of electrograms associated with termination of chronic atrial fibrilla... 11999669 - Evaluation of bi-atrial pacing and single site right atrial pacing for the prevention o... 19460849 - Impact of atrial antitachycardia pacing and atrial pace prevention therapies on atrial ... 17434629 - Mechanisms responsible for the initiation and maintenance of atrial fibrillation assess... 1382889 - Postextrasystolic potentiation and its contribution to the beat-to-beat variation of th... 7903069 - Atrial fibrillation and atrial flutter. 18467889 - Thrombolysis and other drugs during cardiopulmonary resuscitation. 456109 - B waves--a reflection of cardiorespiratory or cerebral nervous systems rhythm? 15620989 - Hydrodissection in redo sternotomies. |
Publication Detail:
|
Type: Journal Article; Review |
Journal Detail:
|
Title: Current medical research and opinion Volume: 22 ISSN: 0300-7995 ISO Abbreviation: Curr Med Res Opin Publication Date: 2006 Aug |
Date Detail:
|
Created Date: 2006-07-27 Completed Date: 2007-01-26 Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 0351014 Medline TA: Curr Med Res Opin Country: England |
Other Details:
|
Languages: eng Pagination: 1437-41 Citation Subset: IM |
Affiliation:
|
University Department of Medicine, City Hospital, Birmingham B18 7QH, UK. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Amiodarone
/
therapeutic use Anti-Arrhythmia Agents / therapeutic use Anti-Inflammatory Agents / therapeutic use Atrial Fibrillation / drug therapy, etiology* Cardiac Surgical Procedures / adverse effects* Endocarditis / drug therapy, etiology Humans Magnesium / therapeutic use Postoperative Complications / etiology Sotalol / therapeutic use |
| Chemical | |
Reg. No./Substance:
|
0/Anti-Arrhythmia Agents; 0/Anti-Inflammatory Agents; 1951-25-3/Amiodarone; 3930-20-9/Sotalol; 7439-95-4/Magnesium |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Physical activity and self-rated health: interactive effects of activity in work and leisure domains...
Next Document: Effect of prophylactic bisoprolol plus magnesium on the incidence of atrial fibrillation after coron...