Editorial
doi: 10.1016/j.xjon.2020.08.003.
eCollection 2020 Sep.
Commentary: We don't need no postop AF… All in all it's just another (β)-block in the wall
Affiliations
- PMID: 36003868
- PMCID: PMC9390644
- DOI: 10.1016/j.xjon.2020.08.003
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Editorial
Commentary: We don't need no postop AF… All in all it's just another (β)-block in the wall
JTCVS Open.
.
No abstract available
Figures
Perioperative use of β-blockers reduces the risk of postoperative atrial fibrillation.
Following cardiac surgery, there is an increase in inflammatory cytokines, oxidative stress, activation of the RAAS, and release of catecholamines. Each of these factors, alone or in combination, may serve as triggers for increased automaticity or electrical conduction abnormalities within the atrium generating AF in some patients. The perioperative use of β-blockers, which could attenuate the chronotropic and inotropic effects of the catecholamine surge, can reduce the development of AF, potentially allowing SR in these patients. RAAS, Renin–angiotensin–aldosterone system; AF, atrial fibrillation; SR, sinus rhythm.
Comment on
- doi: 10.1016/j.xjon.2020.07.004
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