Atrial Fibrillation after Cardiac Surgery

  • Jonathan S. Steinberg

Part of the Developments in Cardiovascular Medicine book series (DICM, volume 222)

Table of contents

  1. Front Matter
    Pages I-X
  2. Frederick A. Ehlert, Dhiraj D. Narula, Jonathan S. Steinberg
    Pages 51-80
  3. Jacqueline E. Tamis, Jonathan S. Steinberg
    Pages 81-93
  4. Javier E. Sanchez, Andrew E. Epstein
    Pages 95-107
  5. Richard J. Lewis, Jonathan S. Steinberg
    Pages 119-132
  6. Dhiraj D. Narula, Jonathan S. Steinberg
    Pages 141-164
  7. Back Matter
    Pages 165-169

About this book

Introduction

Cardiac surgery is performed on hundreds of thousands of patients a year, and can have an important beneficial impact on the outcomes of patients with coronary and valvular heart diseases. Despite the favorable recovery of most patients, some will have their post-operative period interrupted by the development of atrial fibrillation, with a host of potential complications including stroke. High risk subgroups may develop atrial fibrillation in more than half of cases, and often despite aggressive prophylactic measures. Treatment of atrial fibrillation and its aftermath can also add days to the hospital stay of the cardiac surgical patient. In an era of aggressive cost cutting and optimization of utilization of health care resources, the financial impact of this arrhythmic complication may be enormous.
Experimental studies have led to a greater understanding of the mechanism of atrial fibrillation and potential precipitating factors in the cardiac surgical patient. Prophylactic efforts with beta-blockers, antiarrhythmic drugs and atrial pacing are being used, or are being investigated in clinical trials. New methods of achieving prompt cardioversion with minimal disruption of patient care, and prevention of the thromboembolic complications of atrial fibrillation, are also important therapeutic initiatives. This text is designed to aid health care professionals in the treatment of their patients in the recovery period after cardiac surgery, and to instigate additional research efforts to limit the occurrence of, and the complications following, this tenacious postoperative arrhythmia.

Keywords

arrhythmia atrial fibrillation cardiac surgery drugs heart heart disease physiology stroke

Editors and affiliations

  • Jonathan S. Steinberg
    • 1
    • 2
  1. 1.St. Luke’s-Roosevelt Hospital CenterNew YorkUSA
  2. 2.College of Physicians and SurgeonsColumbia UniversityNew YorkUSA

Bibliographic information

  • DOI https://doi.org/10.1007/b102373
  • Copyright Information Springer-Verlag US 2000
  • Publisher Name Springer, Boston, MA
  • eBook Packages Springer Book Archive
  • Print ISBN 978-0-7923-8655-1
  • Online ISBN 978-0-585-28007-3
  • Series Print ISSN 0166-9842
  • About this book
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