Table 1: Main messages for the management of cardiac arrhythmias recorded after lung cancer surgery.
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.