Pathogenesis | Pathogenesis is attributed to the following: i) re-entry circuits located in the atrial tissue, ii) boost of the tone of the vagus nerve or of the sympathetic neural plexus, iii) postoperative haemodynamic disturbances. |
Prevention | Preventive medication for maintenance of sinus rhythm after thoracic surgery are dialtiazem and amiodarone. |
Clinical Management | Atrial flutter and fibrillation can be treated with verapamil, diltiazem or β-blockers |
Cardiac arrhythmias other than atrial flutter or fibrillation after surgery can be treated with procainamide, quinidine, disopyramide, beta-blockers, diltiazem, verapamil, flecainide, propafenone or digitalis. |
Prevention and treatment of thromboembolic episodes amenable to SVDs occurring in the first postoperative days is of paramount importance. |