Perioperative atrial fibrillation: A systematic review of evolving therapeutic options in pharmacologic and procedural management

J. William Schleifer, Harish Ramakrishna

Research output: Contribution to journalReview articlepeer-review

2 Scopus citations

Abstract

Given the high incidence of atrial fibrillation (AF) in the surgical population and the associated morbidity, physicians managing these complicated patients in the perioperative period need to be aware of the new and emerging trends in its therapy. The cornerstones of AF management have always been rate/rhythm control as well as anticoagulation. Restoration of sinus rhythm remains the fundamental philosophy as it maintains the atrial contribution to cardiac output and improves ventricular function. The recent years have seen a dramatic increase in the number of randomized AF trials that have made significant advances to our understanding of both pharmacologic and procedural management, from the introduction of the new generation of oral anticoagulants (NOAC's) to catheter approaches for AF ablation. This paper will summarize the newest data that will affect the perioperative management of these patients.

Original languageEnglish (US)
Pages (from-to)565-570
Number of pages6
JournalAnnals of cardiac anaesthesia
Volume18
Issue number4
DOIs
StatePublished - Oct 1 2015

Keywords

  • Atrial fibrillation
  • If oral anticoagulation
  • Novel anticoagulants
  • Pulmonary vein isolation

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Anesthesiology and Pain Medicine

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