Cardiology

Atrial fibrillation after surgical intervention on the heart. Atrial fibrillation in severe and acute diseases.

Atrial fibrillation after surgical intervention on the heart. Atrial fibrillation in severe and acute diseases....

Atrial fibrillation (AF) occurs frequently after open surgical intervention on the heart (approximately 25-50% of patients). When this happens, do at least 1-2 attempts to restore sinus rhythm. Anticoagulation with heparin or warfarin may be contraindicated, especially in the early postoperative period, so the rhythm of the patient is monitored closely to rapidly identify AF and to perform an electrical cardioversion within 48-hour window from the beginning. For monitoring heart rate in typical use cases, beta-blockers, diltiazem and verapamil. When AF occurs in patients undergoing open heart surgery, before beginning treatment with antiarrhythmic drugs to help prevent further disruption of the rhythm. Usually used amiodarone as the drug was highly effective and well tolerated in the ...
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