Предикторы возникновения послеоперационной фибрилляции предсердий

Цель обзора: изучить предикторы возникновения послеоперационной фибрилляции предсердий (ПОФП), эффективные способы прогнозирования и лечения по данным анализа мировых литературных данных.

В настоящее время ПОФП считается одним из наиболее частых среди всех сердечно-сосудистых осложнений и развивается в 30–65% случаев у пациентов после операций на сердце. В последние десятилетия частота ПОФП постоянно увеличивалась, несмотря на достижения хирургии и анестезиологии. ПОФП является значимым осложнением, влияющим на течение послеоперационного периода и требующим особого внимания, так как приводит к более длительному пребыванию в стационаре, увеличивает затраты, необходимые для лечения пациентов данной категории, а также может привести к смерти. Учитывая последствия ПОФП, было проведено много исследований для выявления факторов, связанных с патофизиологией фибрилляции предсердий и позволяющих разрабатывать профилактические меры, направленные на лечение пациентов с повышенным риском, минимизировать побочные эффекты антиаритмических препаратов. Представлен обзор и анализ мировой литературы, посвященный причинам, профилактике и лечению ПОФП. 

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