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Card Electrophysiol Rev · Jun 2003
ReviewPharmacological approach for the prevention of atrial fibrillation after cardiovascular surgery.
- Allen J Solomon.
- Division of Cardiology, Department of Medicine, Georgetown University Hospital, Room M422, 3800 Reservoir Road NW, Washington, DC 20007, USA. solomona@gunet.georgetown.edu
- Card Electrophysiol Rev. 2003 Jun 1; 7 (2): 172-7.
AbstractAtrial fibrillation (AF) is a common complication of cardiovascular surgery. The two most important risk factors for its development are advancing age and a preoperative history of AF. Long-term sequelae, such as a stroke, are uncommon, however, atrial fibrillation frequently results in increased length and cost of hospitalization. Strategies to prevent postoperative AF include perioperative beta-blockers, amiodarone, and atrial pacing. These strategies are most effective in high-risk patients. When AF does occur, treatment includes control of the ventricular rate, systemic anticoagulation, and conversion to sinus rhythm.
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