Prophylaxis and Management of Atrial Fibrillation Associated With General Thoracic Surgery
Recommendations
Pharmacologic Prophylaxis of Postoperative Atrial Fibrillation
Pharmacologic Treatment of Postoperative Atrial Fibrillation
Rate Control Versus Rhythm Control
Choice of Agent: Rate Control Drugs
Choice of Agent: Rhythm Control (Antiarrhythmic) Drugs
Duration of Antiarrhythmic Therapy
Anticoagulation Therapy for Postoperative Atrial Fibrillation
Anticoagulation Therapy Versus Antiplatelet Therapy
What Is the Optimal International Normalized Ratio When Anticoagulation Is Used?
What Is the Optimal Duration of Anticoagulation Therapy?
Recommendation Grading
Overview
Title
Prophylaxis and Management of Atrial Fibrillation Associated With General Thoracic Surgery
Authoring Organization
Society of Thoracic Surgeons
Publication Month/Year
September 1, 2011
Last Updated Month/Year
January 8, 2024
Supplemental Implementation Tools
Document Type
Guideline
External Publication Status
Published
Country of Publication
US
Document Objectives
Atrial fibrillation (AF) occurs in between 12% and 44% of patients after pulmonary and esophageal surgery. Its occurrence is associated with increased pulmonary complications, increased length of stay, and increased mortality. Although numerous articles have been written on postoperative AF, specific recommendations for the prophylaxis and treatment of AF related to general thoracic surgery (GTS) do not exist. Therefore, The Society of Thoracic Surgeons (STS) Workforce on Evidence Based Surgery formed a taskforce to derive practice recommendations from the literature.
Inclusion Criteria
Female, Male, Adult, Older adult
Health Care Settings
Hospital, Operating and recovery room
Intended Users
Nurse, nurse practitioner, physician, physician assistant
Scope
Assessment and screening, Treatment
Diseases/Conditions (MeSH)
D001281 - Atrial Fibrillation, D011182 - Postoperative Care
Keywords
atrial fibrillation, post-op management
Source Citation
The Society of Thoracic Surgeons Practice Guideline on the Prophylaxis and Management of Atrial Fibrillation Associated With General Thoracic Surgery: Executive Summary
Fernando, Hiran C. et al.The Annals of Thoracic Surgery, Volume 92, Issue 3, 1144 - 1152