[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 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.
Service d'anesthésie, institut mutualiste Montsouris, 42, boulevard Jourdan, 75674 Paris cedex 14, France. ivan.philip@imm.fr
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Philip
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Leblanc
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Berroëta
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Mouren
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Chterev
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Bourel
D000758:Anesthesia; D001281:Atrial Fibrillation / Q000453:epidemiology / Q000517:prevention & control; D002309:Cardiology; D003663:Decision Trees; D006801:Humans; D019990:Perioperative Care / Q000379:methods; D017410:Practice Guidelines as Topic; D018570:Risk Assessment; D012307:Risk Factors