DOI: https://doi.org/10.26641/2307-0404.2014.2.28459

Postoperative atrial fibrillation.

О. А. Yepanchintseva

Abstract


Postoperative arterial fibrillation (AF) is one of the most common complication after cardiac surgery . POAF affect the length of hospital stay, incidence of postoperative stroke and mortality. The main factors of postoperative AF include age, gender, left atrial size, presence of AF before surgery. The most effective drugs to prevent POAF are beta-blockers and amiodarone. In many cases statins, blockers of the renin -angiotensin system are prescribed. Clinical management of patients with POFP and urgency of restoring sinus rhythm are determined by hemodynamic parameters. In unstable hemodynamic condition electrical cardioversion is performed.

Keywords


ischemic heart disease; coronary artery bypass; post-operative arterial fibrillation; cardio-vascular risk; complications

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References


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Mehmet Ozaydin1, Atilla Icli, Habil Yucel et al. Metoprolol vs. carvedilol or carvedilol plus N-acetyl cysteine on post-operative atrial fibrillation: a ran¬do¬mized, double-blind, placebo-controlled study. European Heart Journal. 2012.

Mehmet Ozaydin, Oktay Peker, Dogan Erdogan. N-acetylcysteine for the prevention of postoperative atrial fibrillation: a prospective, randomized, placebo-controlled pilot study. European Heart Journal. 2008;8:2-7.

Calo L, Bianconi L, Colvicchi F. N-3 fatty acids for the prevention of atrial fibrillation after coronary ar¬tery bypass surgery. J Am Coll Cardiol. 2005;45:1723-28.

Anoar Z, Thomas A. Schwann. Obesity and Risk of New-Onset Atrial Fibrillation After Cardiac Surgery. Circulation. 2005;112:3247-55.

Mariscalco G, Lorusso R, Klersy C et al. Ob¬servational study on the beneficial effect of preoperative statins in reducing atrial fibrillation after coronary surgery. Ann Thorac Surg. 2007;84:1158 –64.

Patel A, Dunning J. Is sotalol more effective that β-blockers for prophylaxis of atrial fibrillation during cardiac surgery. Interact Cardiovasc Thorac Surg. 2005;4:147-50.

DiDomenico RJ, Pharm D, Massad MG, Pharma¬cologic strategies for prevention of atrial fibrillation after open heart surgery. Ann Thorac Surg. 2005;79:728–40.

Auer J, Weber T, Berent R. Postoperative atrial fibrillation independently predicts prolongation of hos¬pital stay after cardiac surgery. Cardiovasc Surg. 2005;46:583-8.

Villareal RP, Hariharan R, Liu BC. Postoperative atrial fibrillation and mortality after coronary artery bypass surgery. J Am Coll Cardiol. 2004;43:742–8.

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Liakopoulos OJ, Kuhn EW, Slottosch I, Wassmer G, Wahlers T. Preoperative statin therapy for patients un¬dergoing cardiac surgery. Cochrane Database Syst Rev. 2012 Apr 18;4:CD008493.

Clark LL, Ikonomidis JS, Crawford FA Jr. Preoperative statin treatment is associated with reduced postoperative mortality and morbidity in patients un¬dergoing cardiac surgery: an 8-year retrospective cohort study. J Thorac Cardiovasc SurG. 2006;131:520-2.

Healey JS, Baranchuk A, Crystal E. Prevention of atrial fibrillation with angiotensin-converting enzyme inhibitors and angiotensin receptor blockers: a meta-ana¬lysis. J Am Coll Cardiol. 2005;45:1832-9.

Andrews TC, Reimold SC, Berlin JA. Prevention of supraventricular arrhythmias after coronary artery by¬pass surgery. A meta-analysis of randomized control trials. Circulation. 1991;84(3):236-44.

Mitchell L.B ,. Exner DV, Wyse DG. Prophy¬lactic oral amiodarone for the prevention of arrhythmias that begin early after revascularization, valve replace¬ment, or repair. PAPABEAR: A randomized controlled trial. JAMA. 2005;294:3093-100.

Patti G, Chello M, Candura D et al. Randomized trial of atorvastatin for reduction of postoperative atrial fibrillation in patients undergoing cardiac surgery: results of the ARMYDA-3 study. Circullation. 2006;114:1455-61.

Koch CG, Li L, Van Wagoner DR. Red cell trans¬fusion is associated with an increased risk for post¬operative atrial fibrillation. Ann Thorac Surg. 2006;82:1747-56.

Reston JT, Tregear SJ, Turkelson CM. Meta-analysis of short-term and mid-term outcomes following off-pump coronary artery bypass grafting. Ann Thorac Sur. 2003;76:1510-5.

Rho RW, Dage RL. Biphasic versus monophasic shock waveform for the conversion of atrial fibrillation. Card Electrophysiol Rew. 2003;7:290-1.

Rho RW. The management of atrial fibrillation after cardiac surgery. Heart 2009;95:422-9.

Mendes LA, Connely GP, McKenney PA. Right coronary artery stenosis: an independent predictor of atrial fibrillation after coronary artery bypass surgery. J Amer Coll Cardiol. 1995;25:198-202.

Haan CK, Geraci SA. Role of amiodarone in reducing atrial fibrillation after cardiac surgery in adults. Ann Thorac Surg. 2002; 73:1665–9.

Shishehbor MH, Brennan ML, Aviles RJ. Statins promote potent systemic antioxidant effects through sre¬cific inflammatory pathways. Circulation 2003;108:426-31.

Stamou SC, Hill PC, Dangas G. Stroke after coronary artery bypass: incidence, predictors and clinical outcome. Stroke. 2001;32:1508-13.

Odell JA , Blackshear JL. Stroke after coronary artery bypass grafting: are we forgetting atrial fibrillation? Ann Thorac Surg. 2001;71:400-1

Prasongsukarn K, Abel JG, Jamieson E. The effects of steroids on the occurrence of postoperative atrial fibrillation after coronary artery bypass grafting surgery: A prospective randomized trial. J Thorac Car¬diovasc Surg. 2005;130:93-98.

Bramer S, van Straten AH, Soliman Hamad MA. The impact of new-onset postoperative atrial fibrillation on mortality after coronary artery bypass grafting. Ann Thorac Surg. 2011;40(5):1185-90.

Bramer S, van Straten AH, Soliman Hamad MA. The impact of new-onset postoperative atrial fibrillation on mortality after coronary artery bypass grafting. Ann Thorac Surg. 2010;90(2):443-9.

Ahmadi H, Karimi A, Davoodi S. 24-h in-hospital mortality predictions in coronary artery bypass grafting patients. Arch Med Res. 2007;38:417-23.

Wolf PA, Abbott RD, Kannel WB. Atrial fib¬rillation as an independent risk factor for stroke: the Framingham study. Stroke. 1991; 22:983–8.


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