Jiang Bo, Yang Yifeng
Department of Thoracic and Cardiac Surgery, Second Xiangya Hospital, Central South University, Changsha 410011, China.
Zhong Nan Da Xue Xue Bao Yi Xue Ban. 2013 Aug;38(8):863-8. doi: 10.3969/j.issn.1672-7347.2013.08.018.
Postoperative atrial fibrillation (POAF) is the most common complication after cardiac surgery, which leads to hemodynamics disorder, prolongs hospitalization and increases mortality. The underlying mechanisms behind POAF are associated with cardiomyocyte injury, sympathetic activation and inflammation. The prediction of POAF is based on correlated index from pre-, intra- and post-surgery. POAF can be treated by rhythm and heart rate control as well as and antithrombotic therapy.
术后心房颤动(POAF)是心脏手术后最常见的并发症,可导致血流动力学紊乱、延长住院时间并增加死亡率。POAF背后的潜在机制与心肌细胞损伤、交感神经激活和炎症有关。POAF的预测基于术前、术中和术后的相关指标。POAF可通过节律和心率控制以及抗栓治疗来处理。