Occurrence of recently diagnosed atrial fibrillation in the immediate postoperative period of myocardial revascularization surgery. Although common, a devalued complication.
Marcel de Paula PereiraEduardo Gomes LimaCibele Larrosa GarzilloCamila Talita Machado BarbosaLeon Pablo Cartaxo SampaioFrancisco Carlos da Costa DarrieuxCarlos Vicente SerranoPublished in: Revista da Associacao Medica Brasileira (1992) (2020)
Atrial fibrillation (AF) is the most common arrhythmia in the postoperative period of cardiac surgery, with a prevalence between 15-40% after coronary artery bypass surgery (CABG). Several strategies have been tested for the prevention and management of AF postoperatively. Previous studies and analysis of records have shown higher rates of hospitalization and clinical outcomes associated with this entity, including increased mortality in the short- and long-term. This perspective reviews the topic, and offers recommendations for the management of this arrhythmia in the postoperative period of CABG, with a special focus on anticoagulation strategies.
Keyphrases
- coronary artery bypass
- atrial fibrillation
- percutaneous coronary intervention
- catheter ablation
- patients undergoing
- left atrial
- coronary artery bypass grafting
- oral anticoagulants
- left atrial appendage
- direct oral anticoagulants
- cardiac surgery
- heart failure
- coronary artery disease
- risk factors
- acute coronary syndrome
- acute kidney injury
- venous thromboembolism
- type diabetes
- risk assessment
- cardiovascular disease
- randomized controlled trial
- clinical practice
- systematic review
- minimally invasive