Acta clinica Croatica, Vol. 56. No. 1., 2017.
Original scientific paper
https://doi.org/10.20471/acc.2017.56.01.10
Postoperative Atrial Fibrillation Prophylaxis and Lung Resection – Our Experience with 608 Consecutive Patients
Vjekoslav Karadža
; Jordanovac Department of Thoracic Surgery, Zagreb University Hospital Center, Zagreb, Croatia
Dinko Stančić-Rokotov
; Jordanovac Department of Thoracic Surgery, Zagreb University Hospital Center, Zagreb, Croatia
Jasna Špiček Macan
; Jordanovac Department of Thoracic Surgery, Zagreb University Hospital Center, Zagreb, Croatia
Nevenka Hodoba
; Jordanovac Department of Thoracic Surgery, Zagreb University Hospital Center, Zagreb, Croatia
Nevenka Kolarić
; Jordanovac Department of Th oracic Surgery, Zagreb University Hospital Center, Zagreb, Croatia
Sanja Sakan
; Jordanovac Department of Thoracic Surgery, Zagreb University Hospital Center, Zagreb, Croatia
Abstract
Postoperative atrial fibrillation is a common complication after lung resection. It is burdened by increased mortality and morbidity, prolonged hospitalization, and higher resource utilization in thoracic surgery patients. Therefore, some kind of pharmacological prophylaxis is recommended. In our patients, diltiazem, a calcium antagonist, is administered. We collected data on all 608 patients having undergone lung resection (no less than lobectomy) between November 2012 and May 2015. This period included patients having received diltiazem during their postoperative stay in our Intensive Care Unit and surgical ward, and those that did not receive it. Patients having had atrial fibrillation before the surgery and patients with cardiac pacemaker were excluded from the trial. Other patients were divided into three groups: patients with some kind of antiarrhythmic therapy before and continued after the surgery; patients with diltiazem prophylaxis; and patients without any antiarrhythmic prophylaxis. Th e data collected were statistically analyzed. We found no statistically significant difference in the incidence of postoperative atrial fibrillation among the groups (p<0.05).
Keywords
Diltiazem; Atrial fibrillation; Thoracic surgery
Hrčak ID:
184321
URI
Publication date:
1.3.2017.
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