Author: | Amar, D. |
Article Title: | Strategies for perioperative arrhythmias |
Abstract: | Rapid atrial arrhythmias affect close to one million elderly Americans who undergo cardiac or non-cardiac operations annually and have been associated with prolonged hospital stays. In contrast, bradyarrhythmias or ventricular arrhythmias severe enough to require treatment occur in less than 1% of patients who undergo all types of surgery, including cardiac. This article focuses on new issues leading to the improved understanding of the pathophysiology and mechanisms of post-operative atrial arrhythmias. New approaches directed at prophylaxis and acute therapy of atrial arrhythmias are discussed, as are recommendations to prevent thromboembolic events. Practice and research agenda are proposed. © 2004 Elsevier Ltd. All rights reserved. |
Keywords: | middle aged; surgical technique; clinical trial; united states; pathophysiology; clinical practice; lung toxicity; thrombocytopenia; risk factors; anticoagulant therapy; bradycardia; digoxin; hypomagnesemia; postoperative complications; hospitalization; disease severity; adenosine; acetylsalicylic acid; thromboembolism; medical research; warfarin; heparin; surgery; perioperative period; lidocaine; elderly care; epidural anesthesia; heart atrium arrhythmia; heart atrium fibrillation; atrial fibrillation; beta adrenergic receptor blocking agent; calcium channel blocking agent; heart ventricle arrhythmia; anti-arrhythmia agents; tachycardia, ventricular; heart surgery; antiarrhythmic agent; local anesthetic agent; perioperative care; magnesium; heart supraventricular arrhythmia; amiodarone; heart pacing; flecainide; ibutilide; propafenone; atrial arrhythmias; cardioversion; arrhythmia; humans; human; male; female; priority journal; article; ventricular tachycardia; sotalol; ximelagatran; chemical sympathectomy; heart proarrhythmia |
Journal Title: | Best Practice and Research: Clinical Anaesthesiology |
Volume: | 18 |
Issue: | 4 |
ISSN: | 1521-6896 |
Publisher: | Elsevier Inc. |
Date Published: | 2004-12-01 |
Start Page: | 565 |
End Page: | 577 |
Language: | English |
DOI: | 10.1016/j.bpa.2004.05.007 |
PROVIDER: | scopus |
PUBMED: | 15460546 |
DOI/URL: | |
Notes: | Best Pract. Res. Clin. Anaesthesiol. -- Cited By (since 1996):10 -- Export Date: 16 June 2014 -- CODEN: BPRCD -- Source: Scopus |