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

Journal of the Saudi Heart Association
Mohammed AlawamiLaurence Walker

Abstract

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. 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. 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. 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 ot...Continue Reading

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Citations

Nov 15, 2019·American Journal of Cardiovascular Drugs : Drugs, Devices, and Other Interventions·Yang LiuWei Chen
Nov 5, 2020·World Journal of Surgery·Jianliang LiuGuy Maddern
Nov 23, 2019·Pharmacological Research : the Official Journal of the Italian Pharmacological Society·Nebojša MujovićTatjana S Potpara
Sep 16, 2018·The American Journal of Emergency Medicine·Tim MontriefBrit Long
Jul 17, 2019·The Journal of Thoracic and Cardiovascular Surgery·Edward D PercySary F Aranki

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Methods Mentioned

BETA
coronary artery bypass

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