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Concomitant Atrial Fibrillation Surgery for People Undergoing Cardiac Surgery

Educational Objective
To understand the implications and outcomes of concomitant atrial fibrillation surgery for those undergoing cardiac surgery.
1 Credit CME
Abstract

Clinical Question  Should patients with preoperative atrial fibrillation who are undergoing cardiac surgery undergo concomitant atrial fibrillation surgery?

Bottom Line  There is moderate-quality evidence that concomitant atrial fibrillation surgery approximately doubles the likelihood of freedom from atrial fibrillation, atrial flutter, or atrial tachycardia while not receiving antiarrhythmic medications at least 3 months after the procedure with a small absolute increase in needing a permanent pacemaker.

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Article Information

Corresponding Author: Mark D. Huffman, MD, MPH, Department of Preventive Medicine, Northwestern University Feinberg School of Medicine, 680 N Lake Shore Dr, Ste 1400, Chicago, IL 60611 (m-huffman@northwestern.edu).

Published Online: February 8, 2017. doi:10.1001/jamacardio.2016.5404

Conflict of Interest Disclosures: All authors have completed and submitted the ICMJE Form for Disclosure of Potential Conflicts of Interest. Dr Huffman receives support from the World Heart Federation Emerging Leaders program through grants from AstraZeneca, Boehringer Ingelheim, and Bupa. Dr Malaisrie receives honoraria from Edwards, Bolton, Baxter, and Abiomed for speaking and consulting activities. No other disclosures were reported.

Disclaimer: Dr Huffman is the Associate Editor of JAMA Cardiology but was not involved in the editorial review or the decision to accept the manuscript for publication.

References
1.
Ad  N, Suri  RM, Gammie  JS, Sheng  S, O’Brien  SM, Henry  L.  Surgical ablation of atrial fibrillation trends and outcomes in North America.  J Thorac Cardiovasc Surg. 2012;144(5):1051-1060.PubMedGoogle ScholarCrossref
2.
Huffman  MD, Karmali  KN, Berendsen  MA,  et al.  Concomitant atrial fibrillation surgery for people undergoing cardiac surgery.  Cochrane Database Syst Rev. 2016;8(8):CD011814.PubMedGoogle Scholar
3.
Kirchhof  P, Benussi  S, Kotecha  D,  et al.  2016 ESC Guidelines for the management of atrial fibrillation developed in collaboration with EACTS.  Eur Heart J. 2016;37(38):2893-2962.PubMedGoogle ScholarCrossref
4.
Calkins  H, Kuck  KH, Cappato  R,  et al.  2012 HRS/EHRA/ECAS Expert consensus statement on catheter and surgical ablation of atrial fibrillation.  Europace. 2012;14(4):528-606.PubMedGoogle ScholarCrossref
5.
Guyatt  GH, Oxman  AD, Vist  GE,  et al. GRADE Working Group.  GRADE.  BMJ. 2008;336(7650):924-926.PubMedGoogle ScholarCrossref
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