| Prophylaxis and management of atrial fibrillation after general thoracic surgery. | |
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MedLine Citation:
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PMID: 22108684 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
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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. |
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Authors:
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Robert E Merritt; Joseph B Shrager |
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Publication Detail:
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Type: Journal Article Date: 2011-10-13 |
Journal Detail:
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Title: Thoracic surgery clinics Volume: 22 ISSN: 1547-4127 ISO Abbreviation: Thorac Surg Clin Publication Date: 2012 Feb |
Date Detail:
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Created Date: 2011-11-23 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 101198195 Medline TA: Thorac Surg Clin Country: United States |
Other Details:
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Languages: eng Pagination: 13-23 Citation Subset: IM |
Copyright Information:
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Published by Elsevier Inc. |
Affiliation:
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Division of Thoracic Surgery, Department of Cardiothoracic Surgery, Stanford University School of Medicine, 300 Pasteur Drive, Stanford, CA 94305, USA. |
Export Citation:
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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