Related Experiment Video
Updated: Aug 20, 2026

Catheter Ablation in Combination With Left Atrial Appendage Closure for Atrial Fibrillation
Published on: February 26, 2013
[Postoperative atrial fibrillation: etiopathogenesis, prevention and therapy]
Pasqualina Calisi1, Raffaele Griffo
1U.O. Cardiologia Riabilitativa, Ospedale La Colletta, 16011 Arenzano (GE). cardiocolletta@libero.it
Insights
Post-operative atrial fibrillation is a common cardiac surgery complication, increasing stroke risk and hospital stays. Understanding its causes is key to developing effective prevention strategies.
Area of Science:
- Cardiology
- Cardiac Surgery
Context:
- Atrial fibrillation is the most frequent complication following cardiac surgery.
- It significantly elevates the risk of stroke, thromboembolic events, and heart failure.
Purpose:
- To review current knowledge on post-operative atrial fibrillation (POAF).
- To explore the complex etiopathogenesis of POAF.
- To identify factors influencing POAF development for preventive treatment.
Summary:
- POAF leads to a threefold higher risk of stroke compared to sinus rhythm.
- It results in prolonged hospital stays and considerable economic costs.
- The complex mechanisms underlying POAF contribute to the lack of consensus on routine prophylaxis.
Impact:
- Informing the development of targeted preventive strategies for POAF.
- Improving patient outcomes and reducing healthcare costs associated with cardiac surgery.
- Guiding future research into the underlying mechanisms of POAF.
Abstract:
Atrial fibrillation is the most frequent complication after cardiac surgery. Its onset leads to a threefold higher risk for stroke compared with patients in sinus rhythm and other adverse events such as thromboembolic events and heart failure. The direct consequence is an increased length of hospital stays with obvious economic implications. These reasons have led the attention of many investigators to point out the rule of possible predisposing factors and underlining mechanisms in order to establish an effective preventive treatment. The present paper is aimed to review the state-of-the-art knowledge about post-operative atrial fibrillation and its complex etiopathogenesis which is in turn responsible for the lack of consensus regarding routine prophylaxis.
Related Concept Videos
Dysrhythmias VI: Management of Dysrhythmias
Venous Thrombosis III: Interprofessional Care
ECG Interpretation of Arrhythmias II: Atrial, Junctional and Ventricular Arrhythmias
Aortic Regurgitation III: Medical Management
Mitral Stenosis III: Medical Management
Disturbances in Heart Rhythm
Arrhythmias are categorized by their speed, rhythm, and origin. A slow heart...

