Atrial Fibrillation After Cardiac Surgery - j-stage

1 downloads 0 Views 518KB Size Report
Jun 15, 2013 - Landiolol hydrochloride for prevention of atrial fibrillation after coronary artery bypass grafting: New evidence from the PASCAL trial. J Thorac ...
Advance Publication by-J-STAGE

EDITORIAL

Circulation Journal Official Journal of the Japanese Circulation Society http://www. j-circ.or.jp

Atrial Fibrillation After Cardiac Surgery Akira Sezai, MD, PhD; Motomi Shiono, MD, PhD

A

trial fibrillation (AF) after cardiac surgery is a major cause of morbidity and mortality, and it has been reported that the rate of occurrence is 18–40%.1–5 Various causes have been studied, including advanced age, body mass index, obesity, left atrial dimensions, cardiac dysfunction, chronic respiratory failure, renal dysfunction, fluid balance, preoperative medications, inflammation, and fibrosis, but no definitive consensus has yet been reached and various factors are involved in its occurrence (Figure).1–5

Article p ???? In this issue of the Journal, Chua et al6 describe how they divided 265 patients undergoing cardiac surgery into 3 groups based on the results of preoperative glomerular filtration rate (GFR (ml · min–1 · 1.73 m–2): Group 1, ≥90; Group 2, 60–90; Group 3,