Postthoracotomy atrial fibrillation Journal Article


Author: Amar, D.
Article Title: Postthoracotomy atrial fibrillation
Abstract: PURPOSE OF REVIEW: Rapid atrial arrhythmias affect the elderly who undergo cardiac or noncardiac operations annually and have been associated with prolonged hospital stays. This article focuses on new issues leading to the improved understanding of the pathophysiology and mechanisms of postoperative atrial arrhythmias. RECENT FINDINGS: New risk factors and a prediction rule for postthoracotomy atrial fibrillation are discussed. Settings in which amiodarone prophylaxis against atrial fibrillation after cardiac surgery is appropriate are contrasted with evidence for postthoracotomy atrial fibrillation. Once atrial fibrillation develops, rate versus rhythm control strategies are reviewed. The most recent recommendations of the American Heart Association Task Force on the management of patients with atrial fibrillation are highlighted. SUMMARY: Recent approaches directed at prophylaxis and acute therapy of atrial arrhythmias are discussed as are recommendations to prevent thromboembolic events. © 2007 Lippincott Williams & Wilkins, Inc.
Keywords: clinical trial; review; postoperative period; drug efficacy; pathophysiology; postoperative care; thoracotomy; risk factors; anticoagulant therapy; digoxin; prediction; risk factor; hypomagnesemia; postoperative complication; postoperative complications; patient care; adenosine; acetylsalicylic acid; cardiovascular risk; stroke; thromboembolism; prophylaxis; surgical risk; warfarin; heparin; single drug dose; complications; aging; heart rhythm; transesophageal echocardiography; genetic predisposition; heart atrium arrhythmia; heart atrium fibrillation; atrial fibrillation; beta adrenergic receptor blocking agent; calcium channel blocking agent; hydroxymethylglutaryl coenzyme a reductase inhibitor; verapamil; supraventricular tachycardia; heart surgery; cerebrovascular accident; antiarrhythmic agent; anticoagulant agent; thoracic surgical procedures; magnesium; diltiazem; heart supraventricular arrhythmia; thoracic surgery; amiodarone; flecainide; ibutilide; propafenone; thrombosis prevention; atrial arrhythmias; cardioversion; wolff parkinson white syndrome
Journal Title: Current Opinion in Anaesthesiology
Volume: 20
Issue: 1
ISSN: 0952-7907
Publisher: Lippincott Williams & Wilkins  
Date Published: 2007-02-01
Start Page: 43
End Page: 47
Language: English
DOI: 10.1097/ACO.0b013e32801158bb
PUBMED: 17211166
PROVIDER: scopus
DOI/URL:
Notes: --- - "Cited By (since 1996): 8" - "Export Date: 17 November 2011" - "CODEN: COAEE" - "Source: Scopus"
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  1. David Amar
    125 Amar