Original Article
Real-life practice in the management of new-onset postoperative atrial fibrillation early after cardiac surgery
Author(s): Michelle Berresheim, Arden R Barry, Colleen M Norris RN, Sheri L Koshman, Jayan Nagendran and Glen J Pearson*
Objectives: To investigate the real-world pharmacological management of postoperative atrial fibrillation (POAF) in patients undergoing cardiac surgery.
Methods: A retrospective cohort analysis consisting of adult patients who underwent coronary artery bypass grafting, valve or combined surgery from January to December 2011 was performed using a clinical registry. The peri- and postoperative pharmacological management (rate control, rhythm control, anticoagulant therapy) of POAF was evaluated. Stepwise multivariate regression analyses were used to identify determinants for medication use at discharge.
Results: The cohort consisted of 1145 patients, of whom 377 (32.9%) developed POAF and 271 (23.7%) were included. At discharge, 251 patients (92.6%) received β-blocker therapy and 122 (45.0%) received antiarrhythmic therapy. Two hundred sixty-one (96.3%) received rat.. Read More»
DOI:
10.4172/2368-0512.1000032