Atrial Fibrillation After Cardiac Surgery: What’s All the Fuss About?
The topic of atrial fibrillation after recent cardiac surgery has been one of intense interest for at least the past decade. Entire books have been written on this subject . The reasons behind such intense interest are not entirely clear. However, the major driving factor seems to be the demonstrated relationship between post-operative atrial fibrillation and length of stay in hospital after surgery. Particularly in North America, there is a tremendous financial incentive to shorten the length of stay in hospital after cardiac surgery. The “current wisdom” is that if atrial fibrillation can be prevented, the average length of stay in hospital after cardiac surgery will be shortened. In the opinion of this author, the “current wisdom” is extremely naïve, unlikely to be correct and a more pragmatic approach would be preferable in the quest to shorten length of stay after cardiac surgery. The reasons for this opinion will be outlined below.
KeywordsAtrial Fibrillation Persistent Atrial Fibrillation Rhythm Control Stroke Risk Factor American Heart Association Task
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