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Postthoracotomy atrial fibrillation.

David Amar1

  • 1Department of Anesthesiology and Critical Care Medicine, Memorial Sloan-Kettering Cancer Center and Weill Medical College of Cornell University, New York, USA. amard@mskcc.org

Current Opinion in Anaesthesiology
|January 11, 2007
PubMed
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New insights into postoperative atrial arrhythmias, common in elderly surgical patients, are presented. This review covers risk factors, prophylaxis, and management strategies for atrial fibrillation to prevent complications.

Area of Science:

  • Cardiology
  • Geriatric Medicine
  • Anesthesiology

Background:

  • Postoperative atrial arrhythmias are a significant concern in elderly patients undergoing surgery.
  • These arrhythmias are linked to extended hospital stays and increased morbidity.

Purpose of the Study:

  • To review recent advancements in understanding the pathophysiology and mechanisms of postoperative atrial arrhythmias.
  • To highlight new approaches for prophylaxis and acute therapy of these arrhythmias.

Main Methods:

  • Review of current literature on risk factors and prediction rules for postthoracotomy atrial fibrillation.
  • Analysis of amiodarone prophylaxis strategies for cardiac and noncardiac surgery.
  • Evaluation of rate versus rhythm control for atrial fibrillation management.

Related Experiment Videos

  • Incorporation of recent American Heart Association Task Force recommendations.

    • Main Results:

    • Identification of novel risk factors and a prediction rule for postthoracotomy atrial fibrillation.
    • Guidelines for appropriate amiodarone prophylaxis in specific surgical settings.
    • Comparison of rate and rhythm control strategies for established atrial fibrillation.
    • Emphasis on updated management recommendations for atrial fibrillation.

    Conclusions:

    • Recent strategies for preventing and treating postoperative atrial arrhythmias have improved.
    • Recommendations are provided for preventing thromboembolic events in patients with atrial arrhythmias.