Atrial fibrillation after cardiac surgery : Prevention and management: The Australasian experience

BACKGROUND: Atrial fibrillation (AF) after cardiac surgery is a major health problem that is associated with a significant financial burden. This paper aims to highlight this problem and review the current guidelines in the prevention and management of AF after cardiac surgery, providing our experie...

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Veröffentlicht in:Journal of the Saudi Heart Association. - 1999. - 30(2018), 1 vom: 26. Jan., Seite 40-46
1. Verfasser: Alawami, Mohammed (VerfasserIn)
Weitere Verfasser: Chatfield, Andrew, Ghashi, Rajaie, Walker, Laurence
Format: Online-Aufsatz
Sprache:English
Veröffentlicht: 2018
Zugriff auf das übergeordnete Werk:Journal of the Saudi Heart Association
Schlagworte:Journal Article Review Arrhythmia Atrial fibrillation Cardiac surgery Post operative atrial fibrillation Prevention of atrial fibrillation
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520 |a BACKGROUND: Atrial fibrillation (AF) after cardiac surgery is a major health problem that is associated with a significant financial burden. This paper aims to highlight this problem and review the current guidelines in the prevention and management of AF after cardiac surgery, providing our experience in the Australasian centers 
520 |a METHODS: We conducted a literature review using mainly PubMed to compare the current practice with the available evidence. EMBASE and Cochrane library were also searched. We concurrently developed an online questionnaire to collect data from other Australasian centers regarding their approach to this problem 
520 |a RESULTS: We identified 194 studies that were considered relevant to our research. We did not find any formal protocols published in the literature. From our Australasian experience; seven centers (58%) had a protocol for AF prophylaxis. The protocols included electrolytes replacement, use of amiodarone and/or β-blockers. Other strategies were occasionally used but were not part of a structured protocol 
520 |a CONCLUSION: The development of an integrated medical and surgical protocol for the prophylaxis of AF after cardiac surgery is an important aspect for the care of postoperative cardiac patients. Considerations of prophylactic strategies other than those routinely used should be included in the protocol. This area should receive considerable attention in order to reduce the postoperative complications and health costs 
650 4 |a Journal Article 
650 4 |a Review 
650 4 |a Arrhythmia 
650 4 |a Atrial fibrillation 
650 4 |a Cardiac surgery 
650 4 |a Post operative atrial fibrillation 
650 4 |a Prevention of atrial fibrillation 
700 1 |a Chatfield, Andrew  |e verfasserin  |4 aut 
700 1 |a Ghashi, Rajaie  |e verfasserin  |4 aut 
700 1 |a Walker, Laurence  |e verfasserin  |4 aut 
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