[Perioperative management of atrial fibrillation]

Abstract

Atrial fibrillation is a frequent complication in the perioperative period. When it appears there is an increased risk of perioperative morbidity due to stroke, thromboembolism, cardiac arrest, myocardial infarction, anticoagulation haemorrhage, and hospital readmissions. The current article focuses on the recommendations for the management of perioperative atrial fibrillation based on the latest Clinical Practice Guidelines on atrial fibrillation by the European Society of Cardiology and the Spanish Society of Cardiology. This article pays special attention to the preoperative management, as well as to the acute perioperative episode. For this reason, the latest recommendations for the control of cardiac frequency, antiarrhythmic treatment and anticoagulation are included.

Keywords: Antiarrhythmic; Antiarrítmico; Anticoagulación; Anticoagulation therapy; Atrial fibrillation; Complicaciones perioperatorias; Fibrilación auricular; Perioperative; Perioperative complications; Perioperatorio.