Postbypass arrhythmias: pathophysiology, prevention, and therapy

Current Opinion in Critical Care
Hans KnotzerWalter R Hasibeder

Abstract

To review the medical literature on new-onset arrhythmias after cardiac bypass surgery in adults, focusing on the most recent advances on this topic. Main attention is focused on possible predictors and prevention of postoperative atrial fibrillation, because this arrhythmia is the most common type encountered with cardiac surgery and is associated with increased morbidity and mortality and longer, more expensive hospital stays. Therapeutic management of atrial fibrillation favors class III antiarrhythmic agents like amiodarone and sotalol. Direct-current cardioversion proved to be an ineffective method for treatment of supraventricular tachyarrhythmias. In patients with persistent atrioventricular block or sinus node dysfunction after cardiac valve surgery, a risk score to predict the need for permanent pacing after cardiac valve surgery was developed. This scoring system may be useful for pre- and perioperative management of patients undergoing cardiac valve surgery. Recent studies demonstrate a continued effort to improve our knowledge about postbypass arrhythmias. New insights in the pathophysiology of postoperative cardiac arrhythmias and advances in prevention and therapy are rapid and results are heterogeneous, so it is ...Continue Reading

References

May 1, 1992·Pacing and Clinical Electrophysiology : PACE·G HeinzA Laczkovics
Sep 11, 1991·The Annals of Thoracic Surgery·W J FanningW S Stoney
Oct 15, 1991·The American Journal of Cardiology·P M SapinJ R Foster
Sep 1, 1991·Cleveland Clinic Journal of Medicine·G K BrodellF D Loop
May 1, 1989·The American Journal of Cardiology·S S WafaA J Camm
Jan 1, 1986·The American Journal of Cardiology·E J TopolL S Griffith
Aug 1, 1987·The Annals of Thoracic Surgery·J M BaermanF Morady
Nov 1, 1987·Journal of the American College of Cardiology·S J ConnollyB W Shragge
Feb 1, 1985·Australian and New Zealand Journal of Medicine·T P GavaghanJ J Morgan
Sep 1, 1983·The Annals of Thoracic Surgery·C I TchervenkovJ E Morin
Dec 1, 1982·British Heart Journal·A F MackintoshT A English
Dec 1, 1980·Australian and New Zealand Journal of Medicine·T J Campbell, J J Morgan
Jan 1, 1994·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·A D CochraneB B Davis
Sep 1, 1994·The American Journal of Cardiology·F J JaegerF Loop
Jan 15, 1994·The American Journal of Cardiology·F M LeonelliJ B Young
Sep 1, 1993·The Annals of Thoracic Surgery·L L CreswellJ L Cox
Nov 1, 1996·The American Journal of Cardiology·M R GoldR W DeSanctis
Jun 15, 1997·The American Journal of Cardiology·R E HallM A Moskowitz
Nov 14, 1997·Annals of Surgery·G H AlmassiK E Hammermeister
Dec 5, 1997·The American Journal of Cardiology·M GliksonD L Hayes
Jul 22, 1998·The Journal of Thoracic and Cardiovascular Surgery·J W LewisG Jacobsen
Oct 28, 1998·Clinical Cardiology·A V MattioliG Mattioli
May 12, 2000·Journal of the American College of Cardiology·M D GreenbergA J Solomon
Dec 19, 2001·Annals of Internal Medicine·W H MaiselW G Stevenson

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Citations

Nov 30, 2013·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Jimmy T EfirdAlan P Kypson
Nov 13, 2013·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·Rita KatznelsonShahar Lavi
Jan 26, 2016·Journal of Intensive Care·Rodrigo J ValderrábanoRobert Hunter
Jul 6, 2012·Journal of Cardiothoracic and Vascular Anesthesia·Menachem M WeinerGregory W Fischer
Dec 6, 2008·Transfusion Medicine Reviews·Robert D SlightPankaj S Mankad
Jan 30, 2007·The Annals of Thoracic Surgery·Niyazi GulerHasan Ali Gumrukcuoglu
Jul 14, 2010·Heart Rhythm : the Official Journal of the Heart Rhythm Society·Alireza NazeriJames M Wilson
Aug 26, 2009·Journal of Intensive Care Medicine·Martin W Dünser, Walter R Hasibeder
Jun 16, 2018·Europace : European Pacing, Arrhythmias, and Cardiac Electrophysiology : Journal of the Working Groups on Cardiac Pacing, Arrhythmias, and Cardiac Cellular Electrophysiology of the European Society of Cardiology·Giuseppe BorianiUNKNOWN ESC Scientific Document Group

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