Management and prevention of atrial fibrillation after cardiovascular surgery

Am J Cardiol. 2000 May 25;85(10A):20D-24D. doi: 10.1016/s0002-9149(00)00903-6.


Atrial arrhythmias occur frequently after cardiac surgery. This article discusses the incidence of postoperative atrial arrhythmia as well as its prognosis, potential mechanisms of pathogenesis, and management. Prophylactic therapy for postoperative atrial arrhythmia is recommended because of the frequency of occurrence and the ease with which therapies can often be implemented. Treatments with pharmacologic and nonpharmacologic modalities are described. Management strategies for atrial arrhythmias that occur postoperatively, including pharmacologic and nonpharmacologic measures as well as anticoagulation recommendations, are discussed.

Publication types

  • Review

MeSH terms

  • Adrenergic beta-Antagonists / therapeutic use
  • Anti-Arrhythmia Agents / therapeutic use
  • Atrial Fibrillation / etiology
  • Atrial Fibrillation / prevention & control
  • Atrial Fibrillation / therapy*
  • Cardiac Pacing, Artificial
  • Cardiac Surgical Procedures*
  • Humans
  • Postoperative Complications*
  • Prognosis
  • Risk Factors
  • Sotalol / therapeutic use


  • Adrenergic beta-Antagonists
  • Anti-Arrhythmia Agents
  • Sotalol