Prevention of Atrial Fibrillation After Cardiac Surgery: A Review of Literature and Comparison of Different Treatment Modalities

Jari Halonen, Jussi Kärkkäinen, Helena Jäntti, Tero Martikainen, Antti Valtola, Sten Ellam, Eemu Väliaho, Elmeri Santala, Jenni Räsänen, Auni Juutilainen, Visa Mahlamäki, Sini Vasankari, Tommi Vasankari, Juha Hartikainen

    Research output: Contribution to journalReview Articlepeer-review

    Abstract

    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.

    Original languageEnglish
    Pages (from-to)248-256
    Number of pages9
    JournalCARDIOLOGY IN REVIEW
    Volume32
    Issue number3
    Early online date20 Dec 2022
    DOIs
    Publication statusPublished - 1 May 2024
    Publication typeA2 Review article in a scientific journal

    Publication forum classification

    • Publication forum level 1

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