心臟手術後的心房震顫

Post-operative Atrial Fibrillation after Cardiac Surgery

10.6320/FJM.2016.20(5).10

郝培宇(Pei-Yu Hao)；劉言彬(Yen-Bin Liu)；許榮彬(Ron-Bin Hsu)；陳佳慧(Cheryl Chai-Hui Chen)

心臟手術 ； 術後心房震顫 ； 交感神經活化 ； 結構重組 ； 電節律重組 ； cardiac surgery ； post-operative atrial fibrillation(POAF) ； sympathetic activation ； structural remodeling ； electrical remodeling

台灣醫學

20卷5期（2016 / 09 / 25）

528 - 533

繁體中文

心臟手術後的心房震顫(post-operative atrial fibrillation, POAF)發生率約30%，POAF發生容易導致缺血性中風並影響病人的預後。本文將探討心臟手術後發生POAF的流行病學、機轉、危險因子、不良結果及預防與治療指引。

Postoperative atrial fibrillation (POAF) occurs in approximately 30% of patients undergoing cardiac surgery. The POAF may lead to ischemic stroke affecting patients' outcome. This article aims to review the epidemiology, mechanism, risk factors, adverse outcome and prevention and treatment guideline in patient undergoing cardiac surgery with POAF.