Postoperative atrial fibrillation in non‐cardiac and cardiac surgery: an overview

Summary Postoperative atrial fibrillation (POAF) is the most common perioperative cardiac arrhythmia. A major risk factor for POAF is advanced age, both in non‐cardiac and cardiac surgery. Following non‐cardiac surgery, it is important to correct reversible conditions such as electrolytes imbalances...

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Bibliographic Details
Published in:Journal of thrombosis and haemostasis 2015-06, Vol.13 (S1), p.S304-S312
Main Authors: Bessissow, A., Khan, J., Devereaux, P. J., Alvarez‐Garcia, J., Alonso‐Coello, P.
Format: Article
Language:English
Subjects:
Anti-Arrhythmia Agents - therapeutic use
Anticoagulants - therapeutic use
atrial fibrillation
Atrial Fibrillation - blood
Atrial Fibrillation - drug therapy
Atrial Fibrillation - etiology
Atrial Fibrillation - physiopathology
Atrial Fibrillation - prevention & control
Blood Coagulation - drug effects
cardiac surgery
Cardiac Surgical Procedures - adverse effects
general surgery
Heart Rate - drug effects
Humans
postoperative period
review
Risk Assessment
Risk Factors
Time Factors
Treatment Outcome
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Summary:Summary Postoperative atrial fibrillation (POAF) is the most common perioperative cardiac arrhythmia. A major risk factor for POAF is advanced age, both in non‐cardiac and cardiac surgery. Following non‐cardiac surgery, it is important to correct reversible conditions such as electrolytes imbalances to prevent the occurrence of POAF. Management of POAF consists of rate control and therapeutic anticoagulation if POAF persists for > 48 h and CHADS2 score > 2. After cardiac surgery, POAF affects a larger amount of patients. In addition to age, valve surgery carries the greatest risk for new AF. Rate control is the mainstay therapy in these patients. Prediction, prevention, and management of POAF should be further studied.
ISSN:1538-7933
1538-7836
1538-7836
DOI:10.1111/jth.12974