Year 2018 Vol. 26 No 5

REVIEWS

L.A. BOCKERIA, O.L. BOCKERIA, F.S. GAFUROV

CURRENT STATE OF THE PROBLEM IN PREVENTION OF ATRIAL FIBRILLATION IN THE EARLY POSTOPERATIVE PERIOD AFTER CORONARY ARTERY BYPASS SURGERY

A.N. Bakulev National Medical Research Center of Cardiovascular Surgery,
Moscow,
The Russian Federation

Atrial fibrillation is the most frequent complication of the open heart surgery, including the coronary artery bypass grafting, often leading to a significant increase in the duration of hospital stay, worsening the course of the early and mid-term postoperative period and augmenting the economic costs of treatment.
The aim of the present review is to analyze the data on pharmacological and non-pharmacological approaches to the treatment and prevention of atrial fibrillation in the early postoperative period after the coronary artery bypass grafting. Despite the progressive development of modern antiarrhythmic drugs, the success of sinus rhythm restoration in the postoperative atrial fibrillation does not exceed 50-55%. The literature analysis has shown that biatrial overdrive pacing for the first 72 hours after the surgery is the most effective method to prevent and manage this type of arrhythmia. According to the various studies, biatrial pacing allows achieving 75-85% freedom from atrial fibrillation in the early postoperative period following coronary artery bypass grafting, that is statistically higher than with any other (either pharmacological or non-pharmacological) method of postoperative atrial fibrillation prevention and treatment. In addition, most authors note the safety of biatrial pacing in cardiac surgical patients.

Keywords: biatrial pacing, atrial fibrillation, prevention, coronary artery bypass grafting, antiarrhythmic drugs, postoperative period
p. 605-615 of the original issue
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Address for correspondence:
121552, Russian Federation,
Moscow, Rublevskoye Highway, 135,
A.N. Bakulev National Medical Research
Center of Cardiovascular Surgery,
Department of Surgical Treatment
Of Interactive Pathology,
Tel.: +7 929 647 10 75,
e-mail: furik_med@mail.ru,
Furkatdzon S. Gafurov
Information about the authors:
Bockeria Leo A., MD, Academician of RAS, Director of A.N. Bakulev National Medical Research Center of Cardiovascular Surgery, Moscow, Russian Federation.
https://orcid.org/0000-0002-6180-2619
Bockeria Olga L, MD, Corresponding Member of RAS, Chief Researcher, Department of Surgical Treatment of Interactive Pathology, A.N. Bakulev National Medical Research Center of Cardiovascular Surgery, Moscow, Russian Federation.
http://orcid.org/0000-0002-7711-8520
Gafurov Furkatdzon S., Post-Graduate Student, Department of Surgical Treatment of Interactive Pathology, A.N. Bakulev National Medical Research Center of Cardiovascular Surgery, Moscow, Russian Federation.
https://orcid.org/0000-0002-6226-2984
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