Solomon A J
Department of Medicine, Georgetown University Medical Center, Washington, DC 20007, USA.
Semin Thorac Cardiovasc Surg. 1999 Oct;11(4):320-4. doi: 10.1016/s1043-0679(99)70076-6.
Atrial fibrillation is a common complication of cardiovascular surgery. The 2 most important risk factors for its development are advancing age and a preoperative history of atrial fibrillation. Long-term sequelae, such as a stroke, are uncommon; however, atrial fibrillation frequently results in an increased length and cost of hospitalization. Strategies to prevent postoperative atrial fibrillation include perioperative beta-blockers, amiodarone, and atrial pacing. These strategies are most effective in high-risk patients. When atrial fibrillation does occur, treatment includes control of the ventricular rate, systemic anticoagulation, and conversion back to sinus rhythm.
心房颤动是心血管手术常见的并发症。其发生的两个最重要危险因素是年龄增长和术前有房颤病史。长期后遗症，如中风，并不常见；然而，心房颤动常导致住院时间延长和费用增加。预防术后心房颤动的策略包括围手术期使用β受体阻滞剂、胺碘酮和心房起搏。这些策略在高危患者中最有效。当发生心房颤动时，治疗包括控制心室率、全身抗凝以及恢复窦性心律。
