Predictors and impact of postoperative atrial fibrillation following thoracic surgery: a state‐of‐the‐art review

Summary This review of 19 studies (39,783 patients) of atrial fibrillation after thoracic surgery addresses the pathophysiology, incidence, and consequences of atrial fibrillation in this population, as well as its prevention and management. Interestingly, atrial fibrillation was most often identifi...

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Veröffentlicht in:Anaesthesia 2023-04, Vol.78 (4), p.491-500
Hauptverfasser: Diallo, E.‐H., Brouillard, P., Raymond, J.‐M., Liberman, M., Duceppe, E., Potter, B. J.
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container_end_page 500
container_issue 4
container_start_page 491
container_title Anaesthesia
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creator Diallo, E.‐H.
Brouillard, P.
Raymond, J.‐M.
Liberman, M.
Duceppe, E.
Potter, B. J.
description Summary This review of 19 studies (39,783 patients) of atrial fibrillation after thoracic surgery addresses the pathophysiology, incidence, and consequences of atrial fibrillation in this population, as well as its prevention and management. Interestingly, atrial fibrillation was most often identified in patients not previously known to have the disease. Rhythm control with amiodarone was the most commonly used treatment and nearly all patients were discharged in sinus rhythm. Major predictors were age; male sex; history of atrial fibrillation; congestive heart failure; left atrial enlargement; elevated brain natriuretic peptide level; and the invasiveness of procedures. Overall, patients with atrial fibrillation stayed 3 days longer in hospital. We also discuss the importance of standardising research on this subject and provide recommendations that might mitigate the impact postoperative atrial fibrillation on hospital resources.
doi_str_mv 10.1111/anae.15957
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subjects Amiodarone
Anti-Arrhythmia Agents - therapeutic use
atrial fibrillation
Atrial Fibrillation - epidemiology
Atrial Fibrillation - etiology
Brain natriuretic peptide
Congestive heart failure
Fibrillation
health economics
healthcare costs
Humans
Invasiveness
length of stay
Male
Patients
Rhythm
Surgery
Thoracic Surgery
Thoracic Surgical Procedures - adverse effects
Thorax
title Predictors and impact of postoperative atrial fibrillation following thoracic surgery: a state‐of‐the‐art review
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