Early management of atrial fibrillation in general surgical in-patients

5Citations
Citations of this article
11Readers
Mendeley users who have this article in their library.

Abstract

Background: It has been suggested that new-onset atrial fibrillation (AF) in non-cardiac surgical patients should trigger a thorough search for other morbidity. We reviewed our unit's management of new-onset AF to determine whether this target is achieved. Methods: Patients under the care of a general surgeon who developed new-onset AF during their inpatient stay were identified from a prospectively maintained database of surgical in-patients. Their case-notes were reviewed to determine whether a precipitating cause for the AF was sought or identified. Results: Thirty-one patients developed new-onset AF. Almost half had positive findings on cardiovascular or respiratory system examination and assessment. However, 35% of patients had no respiratory examination, 58% had no cardiovascular examination and 55% had no abdominal examination performed. Eighty-one percent had another underlying complication diagnosed within 24 h of the AF. Twenty-six percent had an intra-abdominal collection. Of those with an underlying complication, 52% were not diagnosed at the time of initial assessment for AF. Twenty percent of patients died within 30 days of the AF. Conclusions: New-onset AF in general surgical patients is associated with considerable morbidity. A thorough clinical evaluation and early involvement of senior surgical staff are recommended. © 2006 Surgical Associates Ltd.

Cite

CITATION STYLE

APA

Walsh, S. R., Thomas, C., Manohar, S., & Coveney, E. C. (2006). Early management of atrial fibrillation in general surgical in-patients. International Journal of Surgery, 4(2), 115–117. https://doi.org/10.1016/j.ijsu.2005.12.003

Register to see more suggestions

Mendeley helps you to discover research relevant for your work.

Already have an account?

Save time finding and organizing research with Mendeley

Sign up for free