Postoperative atrial fibrillation or flutter incidence of atrial fibrillation atrial flutter. Medical search. Frequent questions

Anticipation of atrial arrhythmias in patients with specific clinical descriptors may be used to guide prophylactic therapy. (duke.edu)
I am a cardiologist specializing in the care of individuals with cardiac arrhythmias (irregular heartbeats) and conduction system abnormalities (a problem with the electrical system that makes your heart beat), with a focus on atrial fibrillation . (mskcc.org)
As with most symptomatic arrhythmias, conversion should ideally be achieved before transfer, except in the case of a hemodynamically stable patient referred to an institution with clearly superior expertise and facilities for management of pediatric atrial flutter. (medscape.com)
And I think these patients deserve very close surveillance and monitoring to look for recurrent atrial arrhythmias and even potentially in the future, depending on their risk of AF vs hemorrhagic events, consider either left atrial appendage occlusion or ablation," he added. (medscape.com)
This thickening, particularly after heart failure, increases the likely hood of atrial fibrillation and other arrhythmias. (holisticly.com)
Not only is nicotine from smoking potentially harmful, but chewing and inhaling second hand nicotine can increase the chances of developing short-term atrial fibrillation and other arrhythmias as well. (holisticly.com)
Problems such as atrial arrhythmias are very common and quite benign, with little influence on the patient's hospital course or long‐term prognosis. (thoracickey.com)
5 In fact, about 11 % of patients with CHD develop atrial arrhythmias (intra-atrial reentrant tachycardia [IART] and AF), with the risk being higher in patients with right-sided heart lesions. (aerjournal.com)
Patients with atrial septal defect (ASD) are prone to developing different types of atrial arrhythmias. (aerjournal.com)
For example, intravenous (IV) magnesium is routinely used before many heart surgeries that are known to induce postoperative arrhythmias. (lifeextension.com)

Preoperative descriptors associated with an increased prevalence of atrial tachyarrhythmias were age 70 years or older (p less than .02), mitral regurgitation (p less than .002), history of paroxysmal atrial fibrillation (p less than .03), or antiarrhythmic therapy (p less than .006), diabetes mellitus (p less than .01), and elevated pulmonary systolic, mean, and capillary wedge pressures (p less than .02, p less than .007, p less than .005). (duke.edu)
The investigators hypothesized that a combination of circumferential ablation with high-frequency-stimulation-identified GP ablation is superior to conventional circumferential ablation for the prevention of recurrences of paroxysmal atrial fibrillation (AF). (novoclinica.com)

This is probably related to decreased compliance of the ventricle and ultimately results in the development of atrial dilatation. (medscape.com)
Left atrial volume (LAV) index (LAV indexed to body surface area) is a validated marker of chronic left ventricular load and is closely related to the development of atrial fibrillation (AF) in patients with and without cardiovascular disease. (jafib.com)

The Acutus Medical AcQMap is a high resolution imaging and mapping system that generates a complete heart chamber electrical map with a four-fold improvement in resolution compared to the standard voltage-based mapping used in patients with atrial flutter. (dicardiology.com)
Thrombosis and thromboembolic events are recognized complications in patients with atrial flutter, particularly in the setting of repaired congenital heart disease, such as the Fontan procedure. (medscape.com)

Treatment of children with atrial flutter depends on the age of presentation and baseline cardiac anatomy. (medscape.com)
Restoring drug therapy may be indicated in some children with atrial flutter. (medscape.com)

2014 AATS guidelines for the prevention and management of perioperative atrial fibrillation and flutter for thoracic surgical procedures. (jamanetwork.com)

3 The surgical treatment of atrial fibrillation is the Cox-Maze procedure which produces transmural scars to interfere with abnormal electrical circuits. (jafib.com)
I.V. administration is used for rapid beta-receptor blockade in treatment of atrial fibrillation with high ventricular following rates. (pharmacology2000.com)

Patients who have undergone Mustard, Senning, or Fontan operations are more prone to developing this arrhythmia because of atrial scars from surgery and right atrial enlargement, usually seen after the classic Fontan operation. (medscape.com)
Atrial flutter is a reentrant arrhythmia circuit confined to the atrial chambers. (medscape.com)
INTRODUCTION - Atrial fibrillation (AF) is the most common sustained cardiac arrhythmia in clinical practice. (medilib.ir)
A type of atrial arrhythmia characterized by atrial rates of between 240 and 400 beats per minute and some degree of atrioventricular node conduction block. (nih.gov)
Carbon monoxide also increases susceptibility to ventricular fibrillation and ventricular arrhythmia. (holisticly.com)
AF is a less common cause of atrial arrhythmia in CHD, but its prevalence is increasing in these patients because of improved survival to older age. (aerjournal.com)

Because of the high incidence of morbidity and mortality associated with invasive fungal infections, antifungal prophylaxis is often used in solid organ transplant recipients. (hindawi.com)
[ 16 ] In another study, there was a high incidence of thrombus/thromboembolism with atrial flutter or fibrillation in patients who underwent the Fontan surgery, but it was low in this population in the setting of electrical cardioversion and anticoagulation therapy. (medscape.com)
Background: Previous studies have demonstrated a high incidence of atrial tachyarrhythmias (ATs) in patients with BMS-754807 Brugada syndrome (BS). (proteasomesignal.com)

Jørgensen TH, Thyregod HG, Tarp JB, Svendsen JH, Søndergaard L. Temporal changes of new-onset atrial fibrillation in patients randomized to surgical or transcatheter aortic valve replacement. (jamanetwork.com)

This sharp demarcation is used less frequently in the current era, where the more electrophysiologically descriptive "atrial reentry tachycardia" is used instead. (medscape.com)
During this type of tachycardia, the atrial rate is so rapid that normal AV nodes usually display a physiologic second-degree block , with a resultant 2:1 conduction ratio. (medscape.com)
For patient education information, see the Heart Health Center , as well as Atrial Flutter , Tetralogy of Fallot , and Supraventricular Tachycardia . (medscape.com)
Forty-seven patients (40%) experienced atrial tachyarrhythmias at a median of 3 days after surgery (70% atrial fibrillation, 22% atrial flutter, and 6% junctional tachycardia). (duke.edu)
These include atrial flutter, atrial tachycardia and - most commonly - AF. (aerjournal.com)
No major heart rhythm changes (i.e., induction of extrasystoles, ventricular tachycardia or fibrillation) or pathological morphological changes (i.e. (biomedcentral.com)

Long-term follow-up sheds light on the postoperative outcomes. (medscape.com)
The study found that pre-existing A-Fib is independently associated with postoperative adverse outcomes after surgery. (a-fib.com)

Morphologic findings include atrial enlargement without increased ventricular wall thickness or ventricular cavity dilation, the absence of eosinophilic infiltration, and the absence of pericardial disease. (medscape.com)

Similarly, patients who have undergone surgical repair of an atrial septal defect , total anomalous pulmonary venous connection , and tetralogy of Fallot may later develop atrial flutter. (medscape.com)
One large study found that people with the lowest blood magnesium levels were approximately 50% more likely to develop atrial fibrillation than those with the highest levels. (lifeextension.com)

Scholars@Duke publication: Clinical correlates of atrial tachyarrhythmias after valve replacement for aortic stenosis. (duke.edu)
One hundred eighteen consecutive patients undergoing valve replacement for aortic stenosis were analyzed to determine the incidence of and predisposing factors to postoperative atrial tachyarrhythmias. (duke.edu)
The aims of this study were to (1) examine development of sinus node dysfunction (SND), atrial and ventricular tachyarrhythmias, and (2) study progression of atrioventricular conduction abnormalities in young adult patients with repaired cAVSD. (1library.net)
Patients' medical files were evaluated for occurrence of SND, atrioventricular conduction block (AVB), atrial and ventricular tachyarrhythmias. (1library.net)

In patients who are stable and have chronic atrial flutter, perform cardioversion only after documentation of freedom from intracardiac thrombi or following a 2-week course of anticoagulation. (medscape.com)
Ibutilide is a good option for cardioversion of atrial fibrillation. (anesthesiaexperts.com)

BACKGROUND: Postoperative atrial fibrillation/flutter (POAF) is one of the most common cardiac complications after lung surgery. (bvsalud.org)
Pharmacological interventions significantly reduced the incidence of POAF (odds ratio [OR] 0.36, 95% confidence interval [95% CI] 0.26-0.52) while did not increase the incidence of severe pulmonary complications (OR 1.17, 95% CI 0.57-2.41) after lung surgery compared with placebo/usual care. (bvsalud.org)
CONCLUSION: Current clinical evidence supports the effectiveness of pharmacological intervention with beta-blockers, amiodarone, magnesium sulfate, or calcium-channel blockers to reduce the incidence of POAF after lung surgery in patients with lung cancer. (bvsalud.org)
Post-operative atrial fibrillation (POAF) after valve surgery is associated with increased morbidity and mortality. (jafib.com)
In multivariate analysis only left atrial volume (LAV) index was a predictor of POAF. (jafib.com)
Left atrial volume (LAV) index has been proposed in the past as a predictor of POAF in patients undergoing cardiac surgery. (jafib.com)
Left atrial volume index is a very good predictor of POAF in patients undergoing aortic valve replacement (AVR) for AS. (jafib.com)
Moreover, there was a significant increase in the incidence of POAF with increasing quartiles of LAV index, supporting causality. (jafib.com)
Left atrial volume index is an excellent predictor of POAF in patients undergoing AVR for AS. (jafib.com)
Post-operative atrial fibrillation (POAF) is one of the most common arrythmias after cardiac surgery with an increased mortality, stroke and prolonged hospital stay. (jafib.com)
1 , 2 , 5 , 6 Patients with symptomatic severe aortic stenosis (AS) have a poor prognosis with conservative treatment and aortic valve replacement (AVR) in these patients is also associated with higher incidence of post-operative complications including POAF. (jafib.com)
Three years after coronary artery bypass surgery (CABG), the adjusted risk for all-cause death was threefold higher, stroke fourfold higher, and cardiovascular death nearly fivefold higher in those with postoperative atrial fibrillation (POAF). (medscape.com)

Most patients are transferred to an intermediate care unit or the postoperative cardiac surgical floor on the first postoperative day. (thoracickey.com)
Although postoperative complications are more common in elderly patients and those with comorbidities, they may still develop unpredictably in low‐risk, healthy patients despite an uneventful surgical procedure and early postoperative course. (thoracickey.com)

Atrial fibrillation (AF) has strong associations with other cardiovascular diseases, such as heart failure, coronary artery disease (CAD), valvular heart disease, diabetes mellitus, and hypertension. (medscape.com)

The current real-world anticoagulation practices following left atrial appendectomy in the context of the Maze procedure are unknown. (jafib.com)
Those then kept on anticoagulation and those for whom anticoagulation was stopped were compared in terms of death, bleeding and incidence of stroke. (jafib.com)
Patients who undergo the Maze procedure with amputation of the left atrial appendage are at a low risk of stroke, but the optimal anticoagulation strategy requires further investigation. (jafib.com)
Cox-Maze Procedure, Anticoagulation, Atrial Fibrillation. (jafib.com)
This data is strong enough for patients who have a high CHADsVASC score and have developed an episode of atrial fibrillation in the post-CABG phase to highly or strongly consider long-term chronic oral anticoagulation," Stone said. (medscape.com)

This happens when a fluttering atrial chamber in the heart causes a clot (thrombus) to form that travels up a carotid artery and blocks blood flow to a portion of the brain. (lifeextension.com)

This review will shed light on the procedural techniques, success rates and complications of AF catheter ablation in patients with different types of CHD, including atrial septal defects, tetralogy of Fallot, persistent left superior vena cava, heterotaxy syndrome and atrial isomerism, and Ebstein anomaly. (aerjournal.com)

In the fetus, atrial flutter is defined as a rapid regular atrial rate of 300-600 bpm accompanied by variable degrees of atrioventricular (AV) conduction block, resulting in slower ventricular rates. (medscape.com)

The investigators are, therefore, conducting a randomized study comparing conventional circumferential ablation to a combination of circumferential ablation plus specific right and left atrial GP ablation in patients with drug-refractory paroxysmal AF. (novoclinica.com)

As a rule, atrial flutter originates in the right atrium, whereas atrial fibrillation, which is more frequent in adults, originates in the left atrium. (medscape.com)

In these patients with otherwise normal cardiac anatomy atrial reentry tachycardias are observed mostly during fetal life in late pregnancy, and during adolescence. (medscape.com)
A flutter circuit typically surrounds an anatomical or functional barrier and includes a zone of slow conduction (or conduction over an extended circuit) and an area of unidirectional block, as required for reentry of all types. (medscape.com)
Pathophysiologically, atrial flutter is a form of atrial reentry in which there is a premature electrical impulse creates a self-propagating circuit. (nih.gov)

Atrial flutter is an electrocardiographic descriptor used both specifically and nonspecifically to describe various atrial tachycardias. (medscape.com)

Predictors and clinical implications of atrial fibrillation in patients with severe aortic stenosis undergoing transcatheter aortic valve implantation. (jamanetwork.com)
Atrial fibrillation (AF) develops in almost one in five patients after left main coronary artery bypass surgery and is one of the strongest predictors for subsequent stroke and death, a post hoc analysis of the EXCEL study suggests. (medscape.com)

Atrial flutter is infrequent in children without congenital heart disease. (medscape.com)
Although there is no formal database of adults with congenital heart disease (CHD) in the United States, the prevalence and incidence of CHD can be estimated and extrapolated from data in the Canadian providence. (aerjournal.com)

Fetal atrial flutter is usually treated with oral maternal antiarrhythmic agents without need for further intervention if ventricular function is acceptable and if there is no placental edema. (medscape.com)

Short discrete ramps or bursts of atrial stimuli are the most likely to produce a type I conversion of atrial flutter (immediate conversion to sinus rhythm), particularly if they can be delivered in or near the flutter circuit. (medscape.com)

EPIDEMIOLOGY - Atrial fibrillation (AF) is a global health care problem with evidence suggesting an increasing prevalence and incidence worldwide [ 4-6 ]. (medilib.ir)
1 As such, the prevalence of CHD in the United States has been estimated in 2010 to be around 2.4 million people (1.4 million adults and 1 million children), with an incidence of between four and 10 per 1,000. (aerjournal.com)

With the publication of "Apixaban versus Warfarin in Patients with Atrial Fibrillation" (the ARISTOLE trial) in the New England Journal of Medicine , the third drug in a series of medications designed to attack thrombin in the clotting cascade. (blogspot.com)

Nicotine has also been found to increase atrial fibrosis, which is the thickening of the atria walls that can make pumping blood more difficult. (holisticly.com)
Nicotine causes atrial fibrosis by blocking the activity of two micro-RNA (mi-R-133 and miR-590), which inhibits transforming growth factor (TGF)-β1 and TGF-β receptor type II, and thus blocks the modulators of connective tissue growth factor. (holisticly.com)

A 57-year-old man without a history of coronary disease was scheduled for general anesthesia to undergo cardiac radiofrequency catheter ablation due to symptomatic persistent atrial fibrillation and flutter. (ekja.org)

Embolism secondary to atrial fibrillation, which accounts for 25% of all ischemic strokes, has a 60% rate of death and severe disability. (jafib.com)
Atrial fibrillation , an irregular and often rapid heartbeat, is the leading cardiac cause of strokes . (lifeextension.com)

2016 ESC guidelines for the management of atrial fibrillation developed in collaboration with EACTS. (jamanetwork.com)

This is a cohort study of all patients who underwent the Maze procedure with amputation of the left atrial appendage from June 2005 to November 2012. (jafib.com)
Approximately 25% of the valve operations I do are very complex and include multiple valve and about 30% receive ablation surgery for atrial fibrillation (Maze procedure). (heart-valve-surgery.com)
I was one of the first to perform the Maze procedure for atrial fibrillation beginning in 1991. (heart-valve-surgery.com)

Data show the injection not only reduces the incidence of post-operative AF, but also provides substantial AF suppression after one year. (dicardiology.com)

There is conflicting clinical trial evidence suggesting that oxidative stress due to smoking may also contribute to atrial fibrillation. (holisticly.com)
Before embarking on a randomized clinical trial to test the safety and efficacy of xenon for postoperative neurocognitive deficit, we undertook a phase I study to investigate the safety of administering xenon to patients undergoing coronary artery bypass grafting while on cardiopulmonary bypass and to assess the practicability of our xenon delivery system. (asahq.org)

Atrial fibrillation burden: moving beyond atrial fibrillation as a binary entity: a scientific statement from the American Heart Association. (jamanetwork.com)

Drug therapy of atrial flutter in children can be classified under the 3 broad headings of ventricular rate control, acute conversion, and chronic suppression (see Medication ). (medscape.com)
Postoperative descriptors were prolonged respirator therapy (p less than .001), use of catecholamines (p less than .01) or vasodilators (p less than .05), and prolonged stay in the intensive care unit (p less than .04). (duke.edu)

His postoperative course was complicated by severe primary graft dysfunction (PGD 3), acute rejection, renal failure requiring hemodialysis, tracheostomy placement, Clostridium difficile colitis and ileitis, cytomegaloviral viremia, bilateral upper extremity deep venous thrombi, pleurocutaneous fistula of the right chest necessitating pleurodesis, atrial fibrillation, and a gastrointestinal bleed. (hindawi.com)

The term was originally applied to adults with regular atrial depolarizations at a rate of 260-340 beats per minute (bpm). (medscape.com)
His initial vital signs were a blood pressure of 138/76 mmHg, pulse oxygen saturation of 97%, and heart rate of 114 beats/min with atrial fibrillation. (ekja.org)

In recent years, with the impact of various adverse factors, the incidence of hypertension has continued to rise, and the trend of a younger age at diagnosis has become a major concern. (scienceopen.com)

Historically, the diagnosis of atrial flutter was restricted to those patients whose surface electrocardiogram (ECG) revealed the classic appearance of "flutter waves. (medscape.com)
atrial flutter waves are observed as sawtooth-like atrial activity. (nih.gov)

See Atrial Flutter and Emergent Management of Atrial Flutter for more information on these topics. (medscape.com)
See "Atrial fibrillation: Overview and management of new-onset atrial fibrillation" . (medilib.ir)
The 2011 Focused Update on the Management of Patients with Atrial Fibrillation-by the American College of Cardiology Foundation (ACCF), the AHA, and the Heart Rhythm Society (HRS)-addressed the issue of strict versus lenient rate control in patients with AF. (ahrq.gov)
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. (jamanetwork.com)
Our program also advocates aggressive postoperative pain management including routine use of devices to continuously infuse pain medication to reduce postoperative pain. (heart-valve-surgery.com)

The shade of red demonstrates the strength of association of the risk factor with new-onset atrial fibrillation. (jamanetwork.com)
Darker shades of red represent a larger contribution to the global Wald score and therefore a stronger association with the risk factor for new-onset atrial fibrillation. (jamanetwork.com)
Genetic risk prediction of atrial fibrillation. (jamanetwork.com)
Higher Risk of Incident Hyperthyroidism in Patients With Atrial Fibrillation. (medscape.com)

4 A component of this procedure is exclusion of the left atrial appendage (LAA), the main culprit in cardiogenic emboli. (jafib.com)
Patients are subjected to specific, HF stimulation-guided and anatomic ablation of the main right and left atrial GP. (novoclinica.com)

Anatomy20

Organisms1

Diseases46

Chemicals and Drugs25

Analytical, Diagnostic and Therapeutic Techniques and Equipment67

Phenomena and Processes12

Disciplines and Occupations3

Information Science5

Health Care31

Geographicals2

Arrhythmias10

Paroxysmal atrial fibri2

Development of atrial2

Patients with atrial flutter2

Children with atrial flutter2

Perioperative atrial fibrillation1

Treatment of atrial2

Arrhythmia6

High incidence3

Transcatheter aortic valve repla1

Tachycardia6

Outcomes2

Include atrial1

Develop atrial2

Tachyarrhythmias4

Cardioversion2

POAF12

Surgical2

Valvular Heart D1

Anticoagulation5

Thrombus1

Complications1

Ventricular rates1

Ablation in patients1

Right atrium1

Reentry3

Electrocardiographic1

Predictors2

Congenital2

Antiarrhythmic1

Sinus rhythm1

Prevalence2

Apixaban1

Fibrosis2

Persistent1

Strokes2

Guidelines for the Management1

Maze3

Post-operative1

Clinical2

Burden1

Therapy2

Severe1

Beats2

Adverse1

Waves2

Management5

Risk4

Left2