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Catheter Ablation in Combination With Left Atrial Appendage Closure for Atrial Fibrillation
Published on: February 26, 2013
Atrial fibrillation after cardiac surgery.
W H Maisel1, J D Rawn, W G Stevenson
1Cardiovascular Division, Brigham and Women's Hospital, 75 Francis Street, Boston, MA 02115, USA. wmaisel@partners.org
Annals of Internal Medicine
|December 19, 2001
Summary
Atrial fibrillation (AF) is a common complication after cardiac surgery, affecting up to 65% of patients. Prophylactic treatments like beta-blockers can prevent AF, while management strategies focus on rhythm or rate control for affected individuals.
Area of Science:
- Cardiology
- Cardiac Surgery
- Electrophysiology
Background:
- Atrial fibrillation (AF) is a frequent complication following cardiac surgery.
- Postoperative AF is linked to increased morbidity, mortality, and healthcare costs.
Purpose of the Study:
- To review the epidemiology, mechanisms, complications, predictors, prevention, and treatment of atrial fibrillation after cardiac surgery.
Main Methods:
- A comprehensive literature search of MEDLINE and relevant references was conducted.
- Clinical and basic research studies on post-cardiac surgery AF were selected and analyzed.
Main Results:
- Postoperative AF incidence ranges from 10% to 65%, typically appearing on postoperative days 2-3.
- Beta-adrenergic blockers are effective prophylactic agents; amiodarone and atrial pacing are considered for high-risk patients.
- Management strategies include rhythm control for unstable/symptomatic patients and rate control for others, with anticoagulation for persistent AF.
Conclusions:
- Atrial fibrillation is a significant postoperative complication that can often be prevented with prophylactic measures.
- A tailored approach combining rhythm and rate management strategies effectively restores sinus rhythm in most patients within six weeks post-discharge.
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