Atrial Fibrillation: Current Evidence and Management Strategies During the Perioperative Period

Kunal Karamchandani, Ashish K. Khanna, Somnath Bose, Rohesh J. Fernando, Allan J. Walkey

Research output: Contribution to journalReview articlepeer-review

Abstract

Atrial fibrillation (AF) is the most common arrhythmia in the perioperative period. Previously considered a benign and self-limited entity, recent data suggest that perioperative AF is associated with considerable morbidity and mortality and may predict long-term AF and stroke risk in some patients. Despite known risk factors, AF remains largely unpredictable, especially after noncardiac surgery. As a consequence, strategies to minimize perioperative risk are mostly supportive and include avoiding potential arrhythmogenic triggers and proactively treating patient- and surgery-related factors that might precipitate AF. In addition to managing AF itself, clinicians must also address the hemodynamic perturbations that result from AF to prevent end-organ dysfunction. This review will discuss current evidence with respect to causes, risk factors, and outcomes of patients with AF, and address current controversies in the perioperative setting.

Original languageEnglish (US)
Pages (from-to)2-13
Number of pages12
JournalAnesthesia and analgesia
Volume130
Issue number1
DOIs
StatePublished - Jan 1 2020
Externally publishedYes

ASJC Scopus subject areas

  • Anesthesiology and Pain Medicine

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