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Management of Postoperative Arrhythmias

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Surgical Intensive Care Medicine

Abstract

Cardiac arrhythmias in the perioperative period are common and a major source of morbidity. The most common sustained cardiac arrhythmia, atrial fibrillation (AF), occurs in 30–40% of patients after cardiac surgery, and in up to 4% of patients after noncardiac surgery. Such arrhythmias are responsible for increased length of hospital stay as well as increased healthcare costs. This chapter will address the diagnosis and treatment of perioperative arrhythmias and will suggest simple, cost-effective strategies for evaluation and prevention. As many patients undergoing general and cardiac surgical procedures have implanted arrhythmia control devices (pacemakers and/or defibrillators), this chapter will also discuss the perioperative care of these patients.

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Authors and Affiliations

  1. Division of Cardiology, Cardiac Electrophysiology Service, The University of North Carolina School of Medicine, Chapel Hill, NC, USA

    Eugene H. Chung (Assistant Professor of Medicine)

  2. Tufts University School of Medicine, Boston, MA, USA

    David T. Martin (Associate Professor of Medicine)

  3. Cardiac Arrhythmia Service, Department of Cardiovascular Medicine, Lahey Clinic Medical Center, Burlington, MA, USA

    David T. Martin (Director)

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  1. Eugene H. Chung
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  2. David T. Martin
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  3. David T. Martin
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Editors and Affiliations

  1. Department of Surgical Critical Care Division of Surgery, The Lahey Clinic Medical Center, Burlington, MA, USA

    John M. O’Donnell (Director, Surgical Intensive Care Unit Chairman) (Director, Surgical Intensive Care Unit Chairman)

  2. University Hospital Intensive Care Medicine, Federal University of Rio de Janeiro, Rio de Janeiro, RJ, Brazil

    Flávio E. Nácul

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Chung, E.H., Martin, D.T., Martin, D.T. (2010). Management of Postoperative Arrhythmias. In: O’Donnell, J.M., Nácul, F.E. (eds) Surgical Intensive Care Medicine. Springer, Boston, MA. https://doi.org/10.1007/978-0-387-77893-8_21

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