Postoperative atrial fibrillation prophylaxis and lung resection – our experience with 608 consecutive patients.
POSTOPERATIVE ATRIAL FIBRILLATION PROPHYLAXIS AND LUNG RESECTION
– OUR EXPERIENCE WITH 608 CONSECUTIVE PATIENTS.
Acta Clin Croat. 2017 03;56(1):64-72
Authors: Karadža V, Stančić-Rokotov D, Macan JŠ, Hodoba N, Kolarić N, Sakan S
Abstract
Postoperative atrial fibrillation is a common complication after lung resection. It
is burdened by increased mortality and morbidity, prolonged hospitalization, and higher resource
utilization in thoracic surgery patients. Therefore, some kind of pharmacological prophylaxis is recommended.
In our patients, diltiazem, a calcium antagonist, is administered. We collected data on all 608
patients having undergone lung resection (no less than lobectomy) between November 2012 and May
2015. This period included patients having received diltiazem during their postoperative stay in our
Intensive Care Unit and surgical ward, and those that did not receive it. Patients having had atrial
fibrillation before the surgery and patients with cardiac pacemaker were excluded from the trial. Other
patients were divided into three groups: patients with some kind of antiarrhythmic therapy before and
continued after the surgery; patients with diltiazem prophylaxis; and patients without any antiarrhythmic
prophylaxis. The data collected were statistically analyzed. We found no statistically
significant difference in the incidence of postoperative atrial fibrillation among the groups (p<0.05).
PMID: 29120136...
Source: Acta Clinica Croatica - Category: General Medicine Tags: Acta Clin Croat Source Type: research
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