Arguis M J, Navarro R, Regueiro A, Arbelo E, Sierra P, Sabaté S, Galán J, Ruiz A, Matute P, Roux C, Gomar C, Rovira I, Mont L, Fita G
Departamento de Anestesiología y Reanimación, Hospital Clínic, Barcelona, España; Unidad de Fibrilación auricular (UFA), Hospital Clínic, Barcelona, España.
Departamento de Anestesiología y Reanimación, Hospital Clínic, Barcelona, España.
Rev Esp Anestesiol Reanim. 2014 May;61(5):262-71. doi: 10.1016/j.redar.2013.01.004. Epub 2013 Mar 21.
Atrial fibrillation is a frequent complication in the perioperative period. When it appears there is an increased risk of perioperative morbidity due to stroke, thromboembolism, cardiac arrest, myocardial infarction, anticoagulation haemorrhage, and hospital readmissions. The current article focuses on the recommendations for the management of perioperative atrial fibrillation based on the latest Clinical Practice Guidelines on atrial fibrillation by the European Society of Cardiology and the Spanish Society of Cardiology. This article pays special attention to the preoperative management, as well as to the acute perioperative episode. For this reason, the latest recommendations for the control of cardiac frequency, antiarrhythmic treatment and anticoagulation are included.
心房颤动是围手术期常见的并发症。一旦出现，由于中风、血栓栓塞、心脏骤停、心肌梗死、抗凝出血和再次入院，围手术期发病风险会增加。本文基于欧洲心脏病学会和西班牙心脏病学会最新的心房颤动临床实践指南，重点介绍围手术期心房颤动的管理建议。本文特别关注术前管理以及围手术期急性发作。因此，纳入了控制心率、抗心律失常治疗和抗凝的最新建议。
