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Postoperative Atrial Fibrillation
Joint Authors
De Gaudio, A. R.
Villa, G.
Chelazzi, C.
Source
Issue
Vol. 2011, Issue 2011 (31 Dec. 2011), pp.1-10, 10 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2011-05-22
Country of Publication
Egypt
No. of Pages
10
Main Subjects
Abstract EN
Postoperative atrial fibrillation (POAF) is common among surgical patients and associated with a worse outcome.
Pathophysiology of POAF is not fully disclosed, and several perioperative factors could be involved.
Direct cardiac stimulation from perioperative use of catecholamines or increased sympathetic outflow from volume loss/anaemia/pain may play a role.
Metabolic alterations, such as hypo-/hyperglycaemia and electrolyte disturbances, may also contribute to POAF.
Moreover, inflammation, both systemic and local, may play a role in its pathogenesis.
Strategies to prevent POAF aim at reducing its incidence and ameliorate global outcome of surgical patients.
Nonpharmacological prophylaxis includes an adequate control of postoperative pain, the use of thoracic epidural analgesia, optimization of perioperative oxygen delivery, and, possibly, modulation of surgery-associated inflammatory response with immunonutrition and antioxidants.
Perioperative potassium and magnesium depletion should be corrected.
The impact of those interventions on patients outcome needs to be further investigated.
American Psychological Association (APA)
Chelazzi, C.& Villa, G.& De Gaudio, A. R.. 2011. Postoperative Atrial Fibrillation. ISRN Cardiology،Vol. 2011, no. 2011, pp.1-10.
https://search.emarefa.net/detail/BIM-454135
Modern Language Association (MLA)
Chelazzi, C.…[et al.]. Postoperative Atrial Fibrillation. ISRN Cardiology No. 2011 (2011), pp.1-10.
https://search.emarefa.net/detail/BIM-454135
American Medical Association (AMA)
Chelazzi, C.& Villa, G.& De Gaudio, A. R.. Postoperative Atrial Fibrillation. ISRN Cardiology. 2011. Vol. 2011, no. 2011, pp.1-10.
https://search.emarefa.net/detail/BIM-454135
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-454135