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Anticoagulation and bleeding events in Patients with Post- Operative Atrial Fibrillation After Cardiac Surgery by Z Alam; R Porudominsky; S Lo Presti; V Li; C Rodriguez-Correa; D.C Glymph; I Arenas is a Medicine article available to read on EtoBox.

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## Abstract ## Background Post-operative atrial fibrillation (POPAF) following cardiac surgery is a common arrhythmia associated with an increased morbidity and mortality. There is little data evaluating the safety and effectiveness of anticoagulation (AC) in POPAF patients. We investigated the occurrence of 30-days POP major bleeding or embolic events and their timing in relation to the index cardiac surgery, the initiation of the arrhythmia and of anticoagulation in patients who developed new onset POPAF. ## Methods 4,073 consecutive patients undergoing cardiac surgery from September 2010- December 2016 were evaluated. Patients with history of AF/Aflutter were excluded. POPAF was confirmed by ECG or telemetry. Major post-operative bleeding that occurred after AF was defined using PLATO criteria or the BARC scale (any ≥3). ## Results 3,230 patients were included (37% CABG, 69% valve surgery). The incidence of POAF was 24%. The median time (IQR) of POPAF was 3 (2) days after the index surgery. 64% of POAF patients were male and 14% had a history of stroke. The mean (SD) age was 72 (9) years old. The average (SD) CHA2DS2-VASc score was 3.9 (1.5). The initial postoperative AC was ful

Who reads Anticoagulation and bleeding events in Patients with Post- Operative Atrial Fibrillation After Cardiac Surgery?

Author

Z Alam; R Porudominsky; S Lo Presti; V Li; C Rodriguez-Correa; D.C Glymph; I Arenas

Publisher

Oxford University Press (OUP)

Published

2021

Language

EN

Field

Medicine (Health Sciences)