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[Atrial fibrillation as risk factor in surgery of cholecystitis]
Insights
Atrial fibrillation (AF) in patients with cholecystitis, often combined with heart conditions, generally does not contraindicate surgery. Careful assessment, especially for transient AF, is crucial for successful biliary tract operations.
Area of Science:
- Gastroenterology
- Cardiology
- Surgical Oncology
Background:
- Cholecystitis, particularly calculous cholecystitis, is a common condition.
- Atrial fibrillation (AF) frequently coexists with cardiovascular diseases like ischemic heart disease (IHD), essential hypertension (EH), and rheumatic heart disease.
- The interplay between cholecystitis and cardiac conditions, especially AF, requires careful management regarding surgical interventions.
Abstract:
The author examined 1,149 patients with cholecystitis, 90% of them had calculous and the others had non-calculous forms of the disease. Atrial fibrillation (AF) was found in 63 (5.48%) patients, which was combined in most cases with ischemic heart disease (IHD), essential hypertension (EH), and rheumatic heart disease concomitant of cholecystitis. In 12 cases with CF organic changes of the heart were not found. Eight patients has transitory AF for some years. In determining the indications for operations on the biliary tract in individuals with concomitant AF the author assigns importance to graded physical loading. In the group of 63 patients with AF 43 underwent surgical treatment for cholecystitis with a favourable outcome. The author claims that AF in combination with IHD, EH, and rheumatic heart disease is not a contraindication for surgical treatment of cholecystitis. In cases of transient AF the biliary tract should be examined more frequently because AF may be one of the signs of the biliary-cardiac syndrome in such patients. A history of thromboembolic complications and AF which are relieved with difficulty may be contraindications for operations on the biliary tract.