Postoperative Arrhythmias after Cardiac Surgery: Incidence, Risk Factors, and Therapeutic Management

Arrhythmias are a known complication after cardiac surgery and represent a major cause of morbidity, increased length of hospital stay, and economic costs. However, little is known about incidence, risk factors, and treatment of early postoperative arrhythmias. Both tachyarrhythmias and bradyarrhyth...

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Published inCardiology Research and Practice Vol. 2014; no. 2014; pp. s1 - 15
Main Authors Peretto, Giovanni, Durante, Alessandro, Limite, Luca Rosario, Cianflone, Domenico
Format Journal Article
LanguageEnglish
Published Cairo, Egypt Hindawi Limiteds 01.01.2014
Hindawi Puplishing Corporation
Hindawi Publishing Corporation
John Wiley & Sons, Inc
Wiley
Subjects
Arrhythmia
Beta blockers
Cardiac arrhythmia
Cardiovascular disease
Care and treatment
Catecholamines
Complications
Congenital diseases
Coronary vessels
Distribution
Heart
Heart surgery
Hypertension
Inflammation
Ischemia
Mortality
Ostomy
Patients
Review
Risk factors
Sinuses
Surgery
Transplants & implants
Trauma
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Summary:Arrhythmias are a known complication after cardiac surgery and represent a major cause of morbidity, increased length of hospital stay, and economic costs. However, little is known about incidence, risk factors, and treatment of early postoperative arrhythmias. Both tachyarrhythmias and bradyarrhythmias can present in the postoperative period. In this setting, atrial fibrillation is the most common heart rhythm disorder. Postoperative atrial fibrillation is often self-limiting, but it may require anticoagulation therapy and either a rate or rhythm control strategy. However, ventricular arrhythmias and conduction disturbances can also occur. Sustained ventricular arrhythmias in the recovery period after cardiac surgery may warrant acute treatment and long-term preventive strategy in the absence of reversible causes. Transient bradyarrhythmias may be managed with temporary pacing wires placed at surgery, but significant and persistent atrioventricular block or sinus node dysfunction can occur with the need for permanent pacing. We provide a complete and updated review about mechanisms, risk factors, and treatment strategies for the main postoperative arrhythmias.
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Academic Editor: Frans Leenen
ISSN:2090-0597
2090-8016
2090-0597
DOI:10.1155/2014/615987