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European Heart Journal Advance Access originally published online on January 27, 2009
European Heart Journal 2009 30(4):410-425; doi:10.1093/eurheartj/ehn609
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Published on behalf of the European Society of Cardiology. All rights reserved. © The Author 2009. For permissions please email: journals.permissions@oxfordjournals.org

Atrial fibrillation following cardiac surgery: clinical features and preventative strategies

Diana Kaireviciute1,2, Audrius Aidietis2,3 and Gregory Y.H. Lip1,*

1 Haemostasis, Thrombosis, and Vascular Biology Unit, University Department of Medicine, City Hospital, Birmingham B18 7QH, UK
2 Department of Cardiac Surgery, Vilnius University Hospital Santariskiu Klinikos, Vilnius, Lithuania
3 University of Vilnius, Lithuania

Received 4 October 2008; revised 10 December 2008; accepted 22 December 2008; online publish-ahead-of-print 27 January 2009.

* Corresponding author. Tel: +44 121 507 5080, Fax: +44 121 554 4083, Email: g.y.h.lip{at}bham.ac.uk

Atrial fibrillation (AF) is a common complication of cardiac surgery, with an increasing incidence. Post-operative AF results in many complications and increased healthcare resources. Despite substantial interest in the prediction and prevention of post-operative AF, as well as guidelines for the management of this common arrhythmia, there is still some uncertainty about appropriate risk stratification and management. The aim of this review article is to provide an overview of clinical predictive features for the development of AF following cardiac surgery and suitable preventive measures, using both antiarrhythmic and non-antiarrhythmic strategies.

Key Words: Atrial fibrillation • Cardiac surgery • Clinical predictive factors • Prevention


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