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Sterile Pericarditis in Aachener Minipigs As a Model for Atrial Myopathy and Atrial Fibrillation
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Atrial fibrillation after cardiac surgery: Prevention and management: The Australasian experience

Mohammed Alawami1, Andrew Chatfield1, Rajaie Ghashi2

  • 1Cardiology Department, Auckland City Hospital, Auckland, New Zealand.

Journal of the Saudi Heart Association
|January 4, 2018
PubMed

Insights

Atrial fibrillation (AF) after cardiac surgery is a significant issue. Developing integrated protocols for AF prophylaxis is crucial for reducing complications and healthcare costs.

Area of Science:

  • Cardiology
  • Cardiac Surgery
  • Evidence-Based Medicine

Background:

  • Atrial fibrillation (AF) following cardiac surgery presents a substantial clinical and economic challenge.
  • Effective prevention and management strategies are critical for improving patient outcomes.

Purpose of the Study:

  • To review current guidelines and evidence for preventing and managing AF post-cardiac surgery.
  • To present the experience of Australasian centers in addressing this issue.

Main Methods:

  • A comprehensive literature review was conducted using PubMed, EMBASE, and Cochrane Library.
  • An online questionnaire gathered data on AF prophylaxis practices from Australasian centers.

Main Results:

  • 194 relevant studies were identified; no formal AF prophylaxis protocols were found in the literature.
  • 58% of Australasian centers utilized protocols for AF prophylaxis, primarily including electrolyte replacement, amiodarone, and beta-blockers.

Conclusions:

  • Integrated medical and surgical protocols are essential for AF prophylaxis in postoperative cardiac patients.
  • Exploring prophylactic strategies beyond routine use is recommended to minimize complications and healthcare expenses.
Abstract

Keywords:
ArrhythmiaAtrial fibrillationCardiac surgeryPost operative atrial fibrillationPrevention of atrial fibrillation

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