Atrial fibrillation: from cardiology to perioperative management

Atrial fibrillation (AF) is the most frequent arythmia. During the perioperative period and in intensive care units, management of patients with AF is frequent and difficult. As in cardiology, two main issues are present: the risk of acute hemodynamically instability and the risk of thromboembolic c...

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Bibliographic Details
Published in:Annales françaises d'anesthésie et de réanimation 2012-11, Vol.31 (11), p.897-910
Main Authors: Philip, I, Leblanc, I, Berroëta, C, Mouren, S, Chterev, V, Bourel, P
Format: Article
Language:fre
Subjects:
Anesthesia
Atrial Fibrillation - epidemiology
Atrial Fibrillation - prevention & control
Cardiology
Decision Trees
Humans
Perioperative Care - methods
Practice Guidelines as Topic
Risk Assessment
Risk Factors
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Summary:Atrial fibrillation (AF) is the most frequent arythmia. During the perioperative period and in intensive care units, management of patients with AF is frequent and difficult. As in cardiology, two main issues are present: the risk of acute hemodynamically instability and the risk of thromboembolic complication. Cardiological guidelines recently published must guide the management of patients in this context. Two main factors must be kept in mind: acute AF in these situations are often of short duration; the risk of anticoagulation can be superior to the risk of thrombotic complication in this situation. An individualized benefit-risk analysis must be done in each patient. New treatments, antiarrhythmic or mainly antithrombotic drugs, are under evaluation and will be soon available.
ISSN:1769-6623
DOI:10.1016/j.annfar.2012.08.012