119
Figure 26. Treatment of AF After Cardiac Surgery
AF
After Cardiac Surgery
Hemodynamically
unstable or poorly
tolerated AF
Hemodynamically
stable
Direct current
cardioversion with
antiarrhythmic
drug therapy
(1)
Consider anticoagulation
when deemed safe from
surgical bleeding
(2a)
Rate control (target
HR <100 bpm) with
beta blocker or
calcium channel
blocker
(1)
30- to 60-d
postoperative
rhythm assessment
± cardioversion if AF
does not revert to
sinus rhythm
(2a)
Rate control with beta
blocker or calcium
channel blocker
(1)
Rhythm control
(1)
