Prophylaxis of Atrial Fibrillation After Noncardiac Thoracic Surgery

James E. Tisdale, Heather A. Wroblewski, Kenneth A. Kesler

Research output: Contribution to journalArticle

23 Scopus citations

Abstract

Atrial fibrillation (AF) occurs commonly after noncardiac thoracic surgery, including lobectomy, pneumonectomy and esophagectomy. While not as extensively investigated as AF following cardiac surgery, some strategies for prophylaxis of AF after noncardiac thoracic surgery have been studied. Evidence from prospective, randomized controlled studies supports the use of beta-blockers, diltiazem, amiodarone or magnesium for prevention of AF after pulmonary resection. Limited evidence supports the efficacy of intravenous amiodarone for prevention of AF after esophagectomy. Further study is necessary to determine the safest and most effective methods of prophylaxis of AF after noncardiac thoracic surgery, and to identify patients most likely to benefit from AF prophylaxis.

Original languageEnglish (US)
Pages (from-to)310-320
Number of pages11
JournalSeminars in Thoracic and Cardiovascular Surgery
Volume22
Issue number4
DOIs
StatePublished - Dec 1 2010

Keywords

  • Atrial fibrillation
  • Esophagectomy
  • Lobectomy
  • Pharmacology
  • Pneumonectomy
  • Postoperative care

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Surgery
  • Pulmonary and Respiratory Medicine

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