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Semin. Thorac. Cardiovasc. Surg. · Oct 1999
ReviewTreatment of postoperative atrial fibrillation: a nonsurgical perspective.
- A J Solomon.
- Department of Medicine, Georgetown University Medical Center, Washington, DC 20007, USA.
- Semin. Thorac. Cardiovasc. Surg. 1999 Oct 1; 11 (4): 320-4.
AbstractAtrial fibrillation is a common complication of cardiovascular surgery. The 2 most important risk factors for its development are advancing age and a preoperative history of atrial fibrillation. Long-term sequelae, such as a stroke, are uncommon; however, atrial fibrillation frequently results in an increased length and cost of hospitalization. Strategies to prevent postoperative atrial fibrillation include perioperative beta-blockers, amiodarone, and atrial pacing. These strategies are most effective in high-risk patients. When atrial fibrillation does occur, treatment includes control of the ventricular rate, systemic anticoagulation, and conversion back to sinus rhythm.
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