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(Chest. 2005;128:61S-64S.)
© 2005 American College of Chest Physicians

Future Directions*

American College of Chest Physicians Guidelines for the Prevention and Management of Postoperative Atrial Fibrillation After Cardiac Surgery

Peter McKeown, MBBS, MPH, MPA, FCCP and Andrew E. Epstein, MD

* From the Asheville Veterans Affairs Medical Center (Dr. McKeown), Asheville, NC; the University of Alabama (Dr. Epstein), Birmingham, AL.

Correspondence to: Peter McKeown, MBBS, MPH, FCCP, Department of Surgery, VAMC, 1100 Tunnel Rd, Asheville, NC 28805; e-mail: peter.mckeown{at}med.va.gov

The recommendations put forth in these guidelines for the management and prevention of atrial fibrillation (AF) after cardiac surgery are based on information available at the time of the final literature review. As a result, they will become dated as new information and results from new trials becomes available. The maintenance of clinical practice guidelines is an evolving process requiring the alteration of recommendations over time, based on new studies and new results. The current set of guidelines attempts not only to identify new therapeutic options for AF after cardiac surgery but also to develop a strategy to indicate how and when to update the guidelines themselves.

Key Words: atrial fibrillation • coronary artery bypass graft • maze procedure • off-pump coronary artery bypass







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