Document Detail


Prophylaxis and management of atrial fibrillation after general thoracic surgery.
MedLine Citation:
PMID:  22108684     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
Atrial fibrillation (AF) commonly affects patients after general thoracic surgery. Postoperative AF increases hospital stay and charges. Effective prophylaxis and treatment is the goal. Calcium channel blockers prevent postoperative AF. Beta blockers are a less viable choice. Amiodarone prophylaxis should be avoided in patients with pulmonary dysfunction or who require pneumonectomy. In management of AF, a brief trial of rate-control agents is appropriate; however, chemical cardioversion with rhythm-control agents should be instituted after 24 hours. High-risk patients with history of stroke or transient ischemic attack, or with two or more risk factors for thromboembolism should receive anticoagulation therapy.
Authors:
Robert E Merritt; Joseph B Shrager
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Publication Detail:
Type:  Journal Article     Date:  2011-10-13
Journal Detail:
Title:  Thoracic surgery clinics     Volume:  22     ISSN:  1547-4127     ISO Abbreviation:  Thorac Surg Clin     Publication Date:  2012 Feb 
Date Detail:
Created Date:  2011-11-23     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101198195     Medline TA:  Thorac Surg Clin     Country:  United States    
Other Details:
Languages:  eng     Pagination:  13-23     Citation Subset:  IM    
Copyright Information:
Published by Elsevier Inc.
Affiliation:
Division of Thoracic Surgery, Department of Cardiothoracic Surgery, Stanford University School of Medicine, 300 Pasteur Drive, Stanford, CA 94305, USA.
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