Published in:
Open Access
01-06-2019 | ß-Blockers | Critical Care Anesthesia (BS Rasmussen, Section Editor)
New-Onset Atrial Fibrillation in Adult Patients After Cardiac Surgery
Authors:
Peter S. Burrage, Ying H. Low, Niall G. Campbell, Ben O’Brien
Published in:
Current Anesthesiology Reports
|
Issue 2/2019
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Abstract
Purpose of Review
An overview of recent literature regarding pathophysiology, risk factors, prophylaxis, and treatment of new-onset atrial fibrillation (AF) in post-cardiac surgical patients.
Recent Findings
AF is the most frequent adverse event after cardiac surgery with significant associated morbidity, mortality, and financial cost. Its causes are multifactorial, and models to stratify patients into risk categories are progressing but a consistent, evidence-based system has not yet been developed. Pharmacologic and surgical interventions to prevent and treat this complication have been an area of ongoing research and recent societal guidelines reflect this.
Summary
Inconsistencies remain surrounding how to best identify higher-risk AF patients, which interventions should be used to prevent and treat AF, and which patient groups should receive these interventions. The evidence for these available strategies and their place in contemporary guidelines are summarized.