Postoperative atrial fibrillation as a risk factor for cardiovascular complications in non-cardiac surgery
Open Access
- 5 September 2020
- journal article
- Published by Silicea - Poligraf, LLC in Cardiovascular Therapy and Prevention
- Vol. 19 (4), 2540
- https://doi.org/10.15829/1728-8800-2020-2540
Abstract
Reducing mortality due to cardiovascular complications (CVC) after non-cardiac surgery is one of the priority tasks of modern healthcare. According to the literature data, it is the CVC that are leading cause of perioperative mortality in non-cardiac surgery. Atrial fibrillation (AF) is a common complication after surgery. It is believed that in most cases the AF is potentiated by a combination of factors. It is intraoperative triggers, such as deliberate hypotension, anemia, injury, and pain, that can directly contribute to development of arrhythmia. However, heart rate monitoring after non-cardiac surgery is performed in only a small number of patients, so in most cases, arrhythmias remain unreported. The Revised Cardiac Risk Index (RCRI) and theAmericanCollegeof Surgeons National Surgical Quality Improvement Program (ACS NSQIP) Surgical Risk Calculator are the current tools for assessing perioperative cardiovascular risk. Postoperative AF is not included in any CVC risk stratification system. The presented review systematizes the data that postoperative AF is closely associated with perioperative complications and in some cases it may be the only marker of these complications. It has been shown that AF detection is of great clinical importance in both high-risk patients and, especially, in patients with a low risk of potential complications in non-cardiac surgery.Keywords
This publication has 31 references indexed in Scilit:
- Incidence, predictors, and outcomes associated with postoperative atrial fibrillation after major noncardiac surgeryAmerican Heart Journal, 2012
- Atrial fibrillation after pulmonary lobectomy for lung cancer affects long-term survival in a prospective single-center studyJournal of Cardiothoracic Surgery, 2012
- Perioperative cardiac evaluation, monitoring, and risk reduction strategies in noncardiac surgery patientsCurrent Opinion in Critical Care, 2011
- Development and Validation of a Risk Calculator for Prediction of Cardiac Risk After SurgeryJournal of the American College of Cardiology, 2011
- Mortality and Readmission of Patients With Heart Failure, Atrial Fibrillation, or Coronary Artery Disease Undergoing Noncardiac SurgeryJournal of the American College of Cardiology, 2011
- Risk Factors for Atrial Fibrillation After Lung Cancer Surgery: Analysis of The Society of Thoracic Surgeons General Thoracic Surgery DatabaseThe Annals of Thoracic Surgery, 2010
- Risk of stroke after surgery in patients with and without chronic atrial fibrillationJournal of Thrombosis and Haemostasis, 2010
- New arrhythmias after non-cardiothoracic surgeryBMJ, 2006
- Prediction Rule for Atrial Fibrillation After Major Noncardiac Thoracic SurgeryThe Annals of Thoracic Surgery, 2005
- Risk factors associated with atrial fibrillation after noncardiac thoracic surgery: analysis of 2588 patientsThe Journal of Thoracic and Cardiovascular Surgery, 2004