Atrial fibrillation: From cardiology to perioperative management

被引:3
|
作者
Philip, I. [1 ]
Leblanc, I. [1 ]
Berroeta, C. [1 ]
Mouren, S. [1 ]
Chterev, V. [1 ]
Bourel, P. [1 ]
机构
[1] Inst Mutualiste Montsouris, Serv Anesthesie, F-75674 Paris 14, France
来源
ANNALES FRANCAISES D ANESTHESIE ET DE REANIMATION | 2012年 / 31卷 / 11期
关键词
Atrial fibrillation; Anesthesia; Stroke; Anticoagulant therapy; ECHOCARDIOGRAPHY-GUIDED CARDIOVERSION; CLINICAL CLASSIFICATION SCHEMES; EURO HEART SURVEY; LENGTH-OF-STAY; CARDIAC-SURGERY; TRANSESOPHAGEAL ECHOCARDIOGRAPHY; ANTITHROMBOTIC THERAPY; RANDOMIZED-TRIAL; RHYTHM-CONTROL; TRANSTHORACIC CARDIOVERSION;
D O I
10.1016/j.annfar.2012.08.012
中图分类号
R614 [麻醉学];
学科分类号
100217 ;
摘要
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 clone in each patient. New treatments, antiarrhythmic or mainly antithrombotic drugs, are under evaluation and will be soon available. (C) 2012 Societe francaise d'anesthesie et de reanimation (Sfar). Published by Elsevier Masson SAS. All rights reserved.
引用
收藏
页码:897 / 910
页数:14
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