Postoperative atrial fibrillation after heart surgery: What are the goals of prevention?

作     者：Kim, MH Eagle, KA 

作者机构：Washington Univ Div Cardiovasc St Louis MO 63110 USA Univ Michigan Div Cardiovasc Ann Arbor MI 48109 USA 

出 版 物：《AMERICAN HEART JOURNAL》 (美国心脏杂志)

年 卷 期：2001年第141卷第5期

页      面：691-693页

核心收录：

学科分类：1002[医学-临床医学] 100201[医学-内科学(含：心血管病、血液病、呼吸系病、消化系病、内分泌与代谢病、肾病、风湿病、传染病)] 10[医学] 

主　　题：抗心律失常药/治疗应用 心房颤动/流行病学 心房颤动/病因学 心房颤动/预防和控制 心脏病/外科学 心率/药物作用 医院死亡率 住院时间 预后 人类 

摘      要：Postoperative atrial fibrillation (AF) is the most common complication after heart surgery with a reported incidence of, on average, about 35%.1-5 Despite improvements in the overall cardiac surgical process, the incidence of postoperative AF has remained unchanged. Although there has been no clear causal link to increased morbidity, postoperative AF has been temporally associated with an increased risk of stroke, ventricular arrhythmias, worsened cardiac function, and the need for a permanent pacemaker.3,6 In addition to the potential excess morbidity, postoperative AF has generally been associated with increased cost and resource utilization predominantly through an increased hospital length of stay.3-5