Document Detail

Early management of atrial fibrillation in general surgical in-patients.
MedLine Citation:
PMID:  17462325     Owner:  NLM     Status:  PubMed-not-MEDLINE    
BACKGROUND: It has been suggested that new-onset atrial fibrillation (AF) in non-cardiac surgical patients should trigger a thorough search for other morbidity. We reviewed our unit's management of new-onset AF to determine whether this target is achieved. METHODS: Patients under the care of a general surgeon who developed new-onset AF during their inpatient stay were identified from a prospectively maintained database of surgical in-patients. Their case-notes were reviewed to determine whether a precipitating cause for the AF was sought or identified. RESULTS: Thirty-one patients developed new-onset AF. Almost half had positive findings on cardiovascular or respiratory system examination and assessment. However, 35% of patients had no respiratory examination, 58% had no cardiovascular examination and 55% had no abdominal examination performed. Eighty-one percent had another underlying complication diagnosed within 24h of the AF. Twenty-six percent had an intra-abdominal collection. Of those with an underlying complication, 52% were not diagnosed at the time of initial assessment for AF. Twenty percent of patients died within 30 days of the AF. CONCLUSIONS: New-onset AF in general surgical patients is associated with considerable morbidity. A thorough clinical evaluation and early involvement of senior surgical staff are recommended.
Stewart R Walsh; Catrin Thomas; Sanjay Manohar; Eamonn C Coveney
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Publication Detail:
Type:  Journal Article     Date:  2006-02-09
Journal Detail:
Title:  International journal of surgery (London, England)     Volume:  4     ISSN:  1743-9159     ISO Abbreviation:  -     Publication Date:  2006  
Date Detail:
Created Date:  2007-04-27     Completed Date:  2007-07-20     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101228232     Medline TA:  Int J Surg     Country:  England    
Other Details:
Languages:  eng     Pagination:  115-7     Citation Subset:  -    
Department of General Surgery, West Suffolk Hospitals NHS Trust, Hardwick Lane, Bury St Edmunds, Suffolk IP22 2QZ, United Kingdom.
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Comment In:
Int J Surg. 2006;4(3):193-4   [PMID:  17462348 ]

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