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 |
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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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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.</description><identifier>ISSN: 0003-2409</identifier><identifier>EISSN: 1365-2044</identifier><identifier>DOI: 10.1111/anae.15957</identifier><identifier>PMID: 36632006</identifier><language>eng</language><publisher>England: Blackwell Publishing Ltd</publisher><subject>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</subject><ispartof>Anaesthesia, 2023-04, Vol.78 (4), p.491-500</ispartof><rights>2023 Association of Anaesthetists.</rights><rights>Copyright © 2023 Association of Anaesthetists</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3577-8a5ea430b10485f1f1b563a13e26d778b25555f4364c9185c874977ef24cd82f3</citedby><cites>FETCH-LOGICAL-c3577-8a5ea430b10485f1f1b563a13e26d778b25555f4364c9185c874977ef24cd82f3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fanae.15957$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fanae.15957$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,1427,27901,27902,45550,45551,46384,46808</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/36632006$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Diallo, E.‐H.</creatorcontrib><creatorcontrib>Brouillard, P.</creatorcontrib><creatorcontrib>Raymond, J.‐M.</creatorcontrib><creatorcontrib>Liberman, M.</creatorcontrib><creatorcontrib>Duceppe, E.</creatorcontrib><creatorcontrib>Potter, B. J.</creatorcontrib><title>Predictors and impact of postoperative atrial fibrillation following thoracic surgery: a state‐of‐the‐art review</title><title>Anaesthesia</title><addtitle>Anaesthesia</addtitle><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.</description><subject>Amiodarone</subject><subject>Anti-Arrhythmia Agents - therapeutic use</subject><subject>atrial fibrillation</subject><subject>Atrial Fibrillation - epidemiology</subject><subject>Atrial Fibrillation - etiology</subject><subject>Brain natriuretic peptide</subject><subject>Congestive heart failure</subject><subject>Fibrillation</subject><subject>health economics</subject><subject>healthcare costs</subject><subject>Humans</subject><subject>Invasiveness</subject><subject>length of stay</subject><subject>Male</subject><subject>Patients</subject><subject>Rhythm</subject><subject>Surgery</subject><subject>Thoracic Surgery</subject><subject>Thoracic Surgical Procedures - adverse effects</subject><subject>Thorax</subject><issn>0003-2409</issn><issn>1365-2044</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kc9OHDEMxiPUChbaCw-AIvWCkAbyd5LtbYWgrYSAQ3seZTIOBM1OpklmV3vjEXjGPkmzXeihh_pgW9ZPn2x_CB1Tck5LXJjBwDmVc6n20IzyWlaMCPEOzQghvGKCzA_QYUpPhFCmqd5HB7yuOSOknqHVfYTO2xxiwmbosF-OxmYcHB5DymGEaLJfATY5etNj59vo-77MwoBd6Puw9sMDzo8hGustTlN8gLj5jA1O2WT49fwSXEn5cduamHGElYf1B_TemT7Bx9d6hH5cX32__Frd3H35drm4qSyXSlXaSDCCk5YSoaWjjray5oZyYHWnlG6ZLOEEr4WdUy2tVmKuFDgmbKeZ40fodKc7xvBzgpSbpU8WygUDhCk1TNWSKEYYK-inf9CnMMWhbFcoLSnRgtFCne0oG0NKEVwzRr80cdNQ0mzdaLZuNH_cKPDJq-TULqH7i769vwB0B6x9D5v_SDWL28XVTvQ36fGX9Q</recordid><startdate>202304</startdate><enddate>202304</enddate><creator>Diallo, E.‐H.</creator><creator>Brouillard, P.</creator><creator>Raymond, J.‐M.</creator><creator>Liberman, M.</creator><creator>Duceppe, E.</creator><creator>Potter, B. J.</creator><general>Blackwell Publishing Ltd</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7T5</scope><scope>7U7</scope><scope>C1K</scope><scope>H94</scope><scope>K9.</scope><scope>7X8</scope></search><sort><creationdate>202304</creationdate><title>Predictors and impact of postoperative atrial fibrillation following thoracic surgery: a state‐of‐the‐art review</title><author>Diallo, E.‐H. ; Brouillard, P. ; Raymond, J.‐M. ; Liberman, M. ; Duceppe, E. ; Potter, B. 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J.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Predictors and impact of postoperative atrial fibrillation following thoracic surgery: a state‐of‐the‐art review</atitle><jtitle>Anaesthesia</jtitle><addtitle>Anaesthesia</addtitle><date>2023-04</date><risdate>2023</risdate><volume>78</volume><issue>4</issue><spage>491</spage><epage>500</epage><pages>491-500</pages><issn>0003-2409</issn><eissn>1365-2044</eissn><abstract>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.</abstract><cop>England</cop><pub>Blackwell Publishing Ltd</pub><pmid>36632006</pmid><doi>10.1111/anae.15957</doi><tpages>500</tpages></addata></record> |
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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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