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Review
. 2014 Sep;148(3):e153-93.
doi: 10.1016/j.jtcvs.2014.06.036. Epub 2014 Jun 30.

2014 AATS guidelines for the prevention and management of perioperative atrial fibrillation and flutter for thoracic surgical procedures

Gyorgy Frendl  1 , Alissa C Sodickson  2 , Mina K Chung  3 , Albert L Waldo  4 , Bernard J Gersh  5 , James E Tisdale  6 , Hugh Calkins  7 , Sary Aranki  8 , Tsuyoshi Kaneko  8 , Stephen Cassivi  9 , Sidney C Smith Jr  10 , Dawood Darbar  11 , Jon O Wee  12 , Thomas K Waddell  13 , David Amar  14 , Dale Adler  15 ; American Association for Thoracic Surgery
Affiliations
Review

2014 AATS guidelines for the prevention and management of perioperative atrial fibrillation and flutter for thoracic surgical procedures

Gyorgy Frendl et al. J Thorac Cardiovasc Surg. 2014 Sep.
No abstract available

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Figures

Figure 1
Figure 1
Prevention Strategies and Their Efficacy for Postoperative Atrial Fibrillation (POAF) Abbreviations: PVI: pulmonary vein isolation; LVEF: left ventricular ejection fraction; AF: atrial fibrillation
Figure 2
Figure 2
Management Algorithm for Postoperative Atrial Fibrillation (POAF) Abbreviations: AF: atrial fibrillation; MI: myocardial infarction; HF: heart failure; WPW: Wolf-Parkinson-White syndrome
Figure 3
Figure 3
Management of the Hemodynamically Unstable Patient with New Onset Postoperative Atrial Fibrillation (POAF) Abbreviations: AF: atrial fibrillation; HF: heart failure; DC cardioversion: direct current cardioversion; i.v.: intravenous
Figure 4
Figure 4
Management of the Hemodynamically Stable Patient with New Onset POAF of Less than 48Hrs of Duration Abbreviations: AF: atrial fibrillation; WPW: Wolf-Parkinson-White syndrome; ; i.v.: intravenous; HF: heart failure; DC cardioversion: direct current cardioversion
Figure 5
Figure 5
Management of the Hemodynamically Stable Patient with New Onset Postoperative Atrial Fibrillation (POAF) of More than 48Hrs of Duration Abbreviations: AF: atrial fibrillation; WPW: Wolf-Parkinson-White syndrome; ; i.v.: intravenous; HF: heart failure; DC cardioversion: direct current cardioversion; TEE: transesophageal echocardiogram; LA/LAA: left atrial / left atrial appendage
Figure 6
Figure 6
a: Antiarrhythmic Drugs Recommended for Pharmacologic Cardioversion of Postoperative Atrial Fibrillation (POAF) Abbreviations: MI: myocardial infarction; CAD: coronary artery disease, LV: left vertricular; CHF: congestive heart failure; AV: atrio-ventricular b: Antiarrhythmic Drugs Recommended for Maintenance of Sinus Rhythm after Cardioversion of Postoperative Atrial Fibrillation (POAF) Abbreviations: CAD: coronary artery disease; HF: heart failure; MI: myocardial infarction; CAD: coronary artery disease, LV: left vertricular; AV: atrio-ventricular
Figure 6
Figure 6
a: Antiarrhythmic Drugs Recommended for Pharmacologic Cardioversion of Postoperative Atrial Fibrillation (POAF) Abbreviations: MI: myocardial infarction; CAD: coronary artery disease, LV: left vertricular; CHF: congestive heart failure; AV: atrio-ventricular b: Antiarrhythmic Drugs Recommended for Maintenance of Sinus Rhythm after Cardioversion of Postoperative Atrial Fibrillation (POAF) Abbreviations: CAD: coronary artery disease; HF: heart failure; MI: myocardial infarction; CAD: coronary artery disease, LV: left vertricular; AV: atrio-ventricular
Figure 7
Figure 7
Algorithm for the Management of Patients with Preoperative Atrial Fibrillation (AF) Abbreviations: CHF: congestive heart failure; SOB: shortness of breath; CoR: Class of Recommendation; LOE: Level of Evidence; CHA2DS2-VASc: CHA2DS2-VASc score
Figure 8
Figure 8
Management of Anticoagulation for Postoperative Atrial Fibrillation (POAF) Lasting Longer than 48Hrs Abbreviations: INR: international normalized ratio, NOAC: new oral anticoagulants
Figure 9
Figure 9
Considerations for the Management of Anticoagulation within the First 48hrs of Postoperative Atrial Fibrillation (POAF) Abbreviations: CHA2DS2-VASc: CHA2DS2-VASc score
Figure 10
Figure 10
Stroke Risk Stratification in Atrial Fibrillation Abbreviations: CHA2DS2-VASc: CHA2DS2-VASc score, HTN: hypertension; MI: myocardial infarction; PAD: peripheral arterial disease
Figure 11
Figure 11
Recommendation for the Post-Discharge Follow-Up for Patient with New Onset Postoperative Atrial Fibrillation (POAF) Abbreviations: NSR: normal sinus rhythm; EF: ejection fraction
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References

    1. Institute of Medicine (U.S.) Clinical practice guidelines we can trust. Washington, DC: National Academies Press; 2011. Committee on Standards for Developing Trustworthy Clinical Practice Guidelines and R. 1. Graham.
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