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Atrial fibrillation burden and atrial fibrillation type: Clinical significance and impact on the risk of stroke and decision making for long-term anticoagulation.房颤负荷与房颤类型：临床意义及对卒中风险和长期抗凝决策的影响
Vascul Pharmacol. 2016 Aug;83:26-35. doi: 10.1016/j.vph.2016.03.006. Epub 2016 May 16.
2
Rate Control versus Rhythm Control for Atrial Fibrillation after Cardiac Surgery.心脏手术后房颤的心率控制与节律控制
N Engl J Med. 2016 May 19;374(20):1911-21. doi: 10.1056/NEJMoa1602002. Epub 2016 Apr 4.
3
New-Onset Atrial Fibrillation After Cardiac Surgery: Pathophysiology, Prophylaxis, and Treatment.心脏手术后新发房颤：病理生理学、预防及治疗
J Cardiothorac Vasc Anesth. 2016 Jan;30(1):200-16. doi: 10.1053/j.jvca.2015.08.003. Epub 2015 Aug 10.
4
Postoperative atrial fibrillation in non-cardiac and cardiac surgery: an overview.非心脏和心脏手术中的术后心房颤动：概述。
J Thromb Haemost. 2015 Jun;13 Suppl 1:S304-12. doi: 10.1111/jth.12974.
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The use of preoperative B-type natriuretic peptide as a predictor of atrial fibrillation after thoracic surgery: systematic review and meta-analysis.术前B型利钠肽作为胸外科手术后房颤预测指标的应用：系统评价与Meta分析
J Cardiothorac Vasc Anesth. 2015 Apr;29(2):389-95. doi: 10.1053/j.jvca.2014.05.015. Epub 2014 Oct 24.
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2014 AATS guidelines for the prevention and management of perioperative atrial fibrillation and flutter for thoracic surgical procedures.2014年美国胸外科医师协会（AATS）关于胸外科手术围手术期心房颤动和心房扑动预防与管理的指南。
J Thorac Cardiovasc Surg. 2014 Sep;148(3):e153-93. doi: 10.1016/j.jtcvs.2014.06.036. Epub 2014 Jun 30.
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2014 AHA/ACC/HRS guideline for the management of patients with atrial fibrillation: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines and the Heart Rhythm Society.2014年美国心脏协会/美国心脏病学会/心律学会心房颤动患者管理指南：美国心脏病学会/美国心脏协会实践指南工作组及心律学会的报告
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非心胸外科手术后房颤的争议：临床及研究意义

Controversies in postoperative atrial fibrillation after noncardiothoracic surgery: clinical and research implications.

作者信息

Vallurupalli Srikanth, Shanbhag Anusha, Mehta Jawahar L

机构信息

Division of Cardiology, Central Arkansas Veterans Healthcare System and the University of Arkansas for Medical Sciences, Little Rock, Arkansas.

出版信息

Clin Cardiol. 2017 May;40(5):329-332. doi: 10.1002/clc.22652. Epub 2017 Mar 8.

DOI:10.1002/clc.22652
PMID:28272807
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6490365/
Abstract

Post operative atrial fibrillation after non-cardiothoracic surgery is an increasingly common problem. There is little high quality data to guide clinicians in risk prediction as well as short term and long term management. There appears to be a significant risk of recurrent atrial fibrillation and stroke but effective screening strategies have not been tested. In this commentary, we delineate various controversies in the management of post operative atrial fibrillation and briefly review the available evidence. Prospective studies in this clinically important area of cardiology should be encouraged.

摘要

非心胸外科手术后的术后房颤是一个日益常见的问题。几乎没有高质量的数据来指导临床医生进行风险预测以及短期和长期管理。房颤复发和中风的风险似乎很大，但有效的筛查策略尚未得到验证。在这篇评论中，我们阐述了术后房颤管理中的各种争议，并简要回顾了现有证据。应鼓励在心脏病学这一临床重要领域开展前瞻性研究。