Amar David
Department of Anesthesiology and Critical Care Medicine, Memorial Sloan-Kettering Cancer Center and Weill Medical College of Cornell University, New York, USA.
Curr Opin Anaesthesiol. 2007 Feb;20(1):43-7. doi: 10.1097/ACO.0b013e32801158bb.
Rapid atrial arrhythmias affect the elderly who undergo cardiac or noncardiac operations annually and have been associated with prolonged hospital stays. This article focuses on new issues leading to the improved understanding of the pathophysiology and mechanisms of postoperative atrial arrhythmias.
New risk factors and a prediction rule for postthoracotomy atrial fibrillation are discussed. Settings in which amiodarone prophylaxis against atrial fibrillation after cardiac surgery is appropriate are contrasted with evidence for postthoracotomy atrial fibrillation. Once atrial fibrillation develops, rate versus rhythm control strategies are reviewed. The most recent recommendations of the American Heart Association Task Force on the management of patients with atrial fibrillation are highlighted.
Recent approaches directed at prophylaxis and acute therapy of atrial arrhythmias are discussed as are recommendations to prevent thromboembolic events.
快速性房性心律失常影响每年接受心脏或非心脏手术的老年人，并与住院时间延长有关。本文重点关注有助于更好地理解术后房性心律失常病理生理学和机制的新问题。
讨论了开胸术后房颤的新危险因素和预测规则。对比了心脏手术后胺碘酮预防房颤适用的情况与开胸术后房颤的证据。房颤一旦发生，对心率与节律控制策略进行了综述。强调了美国心脏协会房颤患者管理特别工作组的最新建议。
讨论了近期针对房性心律失常预防和急性治疗的方法以及预防血栓栓塞事件的建议。
