A2 Vertaisarvioitu katsausartikkeli tieteellisessä lehdessä
Prevention of Atrial Fibrillation After Cardiac Surgery: A Review of Literature and Comparison of Different Treatment Modalities
Tekijät: Halonen Jari, Kärkkäinen Jussi, Jäntti Helena, Martikainen Tero, Valtola Antti, Ellam Sten, Väliaho Eemu, Santala Elmeri, Räsänen Jenni, Juutilainen Auni, Mahlamäki Visa, Vasankari Sini, Vasankari Tommi, Hartikainen Juha
Julkaisuvuosi: 2022
Journal: Cardiology in Review
Tietokannassa oleva lehden nimi: Cardiology in review
Lehden akronyymi: Cardiol Rev
ISSN: 1061-5377
eISSN: 1538-4683
DOI: https://doi.org/10.1097/CRD.0000000000000499
Verkko-osoite: https://journals.lww.com/cardiologyinreview/fulltext/9900/prevention_of_atrial_fibrillation_after_cardiac.53.aspx
Atrial fibrillation is the most common arrhythmia to occur after cardiac surgery, with an incidence of 10% to 50%. It is associated with postoperative complications including increased risk of stroke, prolonged hospital stays and increased costs. Despite new insights into the mechanisms of atrial fibrillation, no specific etiologic factor has been identified as the sole perpetrator of the arrhythmia. Current evidence suggests that the pathophysiology of atrial fibrillation in general, as well as after cardiac surgery, is multifactorial. Studies have also shown that new-onset postoperative atrial fibrillation following cardiac surgery is associated with a higher risk of short-term and long-term mortality. Furthermore, it has been demonstrated that prophylactic medical therapy decreases the incidence of postoperative atrial fibrillation after cardiac surgery. Of note, the incidence of postoperative atrial fibrillation has not changed during the last decades despite the numerous preventive strategies and operative techniques proposed, although the perioperative and postoperative care of cardiac patients as such has improved.
