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Published on: February 26, 2013
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Postoperative atrial fibrillation after cesarean delivery
1Tampa General Hospital, University of South Florida Morsani College of Medicine, USA.
Romanian Journal of Anaesthesia and Intensive Care
|November 6, 2018
Summary
Postoperative atrial fibrillation (AF) is a rare complication after cesarean delivery (CD), occurring in 0.04% of cases. Hypomagnesemia was observed in all affected patients, increasing hospital stay.
Area of Science:
- Cardiology
- Obstetrics
- Gynecology
Background:
- Atrial fibrillation (AF) is a common clinical arrhythmia.
- Maternal AF as a postoperative complication following cesarean delivery (CD) lacks extensive literature and guidelines.
- Characterizing parturients with AF post-CD is crucial for understanding management and outcomes.
Purpose of the Study:
- To determine the incidence of AF following CD.
- To identify potential risk factors for postoperative AF (POAF).
- To evaluate the management and outcomes of women who developed AF after CD.
Main Methods:
- Retrospective chart review of women undergoing CD between 2003 and 2012.
- Analysis of incidence, risk factors, treatment, and outcomes.
- Inclusion criteria: women who developed AF after CD.
Main Results:
- The incidence of AF following CD was 0.04% (1:2,434).
- Seven parturients developed AF post-CD; ages ranged from 26-41 years (median 33).
- Common findings included term/postterm pregnancy, prior AF history, mitral regurgitation, and hypomagnesemia.
Conclusions:
- Postoperative AF (POAF) is a rare complication of CD (0.04% incidence).
- Hypomagnesemia was consistently observed in patients with POAF.
- POAF is associated with increased hospital stay and resource utilization.
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