This commentary discusses how pre-op atrial compliance may predict peri-operative AF, suggesting new avenues for surgical assessment.
EchocardiographyVolume 42, Issue 10 e70317 COMMENTARY Pre-Op Atrial Compliance—A New Way of Predicting Peri-Operative AF? Sarah M. Birkhoelzer, Corresponding Author Sarah M. Birkhoelzer [email protected] orcid.org/0000-0003-2405-6079 University Hospital Dorset, Bournemouth, UKSearch for more papers by this author Sarah M. Birkhoelzer, Corresponding Author Sarah M. Birkhoelzer [email protected] orcid.org/0000-0003-2405-6079 University Hospital Dorset, Bournemouth, UKSearch for more papers by this author First published: 11 October 2025 https://doi.org/10.1111/echo.70317Read the full textAboutPDF ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL Share a linkShare onEmailFacebookxLinkedInRedditWechatBluesky No abstract is available for this article. References 1A. Bessissow, J. Khan, P. J. Devereaux, J. Alvarez-Garcia, and P. Alonso-Coello, "Postoperative Atrial Fibrillation in Non-Cardiac and Cardiac Surgery: An Overview," Journal of Thrombosis and Haemostasis 13 (2015): S304–S312, https://doi.org/10.1111/jth.12974. 10.1111/jth.12974 PubMed Web of Science® Google Scholar 2S. Halvorsen, J. Mehilli, S. Cassese, et al., "2022 ESC Guidelines on Cardiovascular Assessment and Management of Patients Undergoing Non-Cardiac Surgery: Developed by the Task Force for Cardiovascular Assessment and Management of Patients Undergoing Non-Cardiac Surgery of the European Society of Cardiology (ESC) Endorsed by the European Society of Anaesthesiology and Intensive Care (ESAIC)," European Heart Journal 43, no. 39 (2022): 3826–3924. 10.1093/eurheartj/ehac270 PubMed Web of Science® Google Scholar 3M. C. Pastore, A. Degiovanni, L. Grisafi, et al., "Left Atrial Strain to Predict Postoperative Atrial Fibrillation in Patients Undergoing Coronary Artery Bypass Grafting," Circulation: Cardiovascular Imaging 17, no. 1 (2024): e015969. 10.1161/CIRCIMAGING.123.015969 PubMed Web of Science® Google Scholar 4F. J. Olsen, S. Z. Diederichsen, P. G. Jørgensen, et al., "Left Atrial Strain Predicts Subclinical Atrial Fibrillation Detected by Long-Term Continuous Monitoring in Elderly High-Risk Individuals," Circulation: Cardiovascular Imaging 17, no. 3 (2024): e016197. 10.1161/CIRCIMAGING.123.016197 PubMed Web of Science® Google Scholar 5J. A. Muñoz-Largacha, K. He, R. Xie, C. A. LaFon, J. M. Donahue, and B. Wei, "Oral Diltiazem Prophylaxis for Atrial Fibrillation in Patients Undergoing Robotic Lobectomy," Annals of Thoracic Surgery Short Reports 3, no. 2 (2025): 509–513. 10.1016/j.atssr.2024.10.003 PubMed Google Scholar 6M. Hochreiter, T. Schmidt, B. H. Siegler, et al., "Diltiazem Prophylaxis for the Prevention of Atrial Fibrillation in Patients Undergoing Thoracoabdominal Esophagectomy: A Retrospective Cohort Study," World Journal of Surgery 44, no. 7 (2020): 2295–2304, https://doi.org/10.1007/s00268-020-05444-y. 10.1007/s00268-020-05444-y PubMed Web of Science® Google Scholar 7J. Gill, A. G. Shah, G. Di Luozzo, et al., "Amiodarone Prophylaxis Against Postoperative Atrial Fibrillation in Off-Pump Coronary Artery Bypass," Heart & Lung 72 (2025): 85–94, https://doi.org/10.1016/j.hrtlng.2025.03.009. 10.1016/j.hrtlng.2025.03.009 PubMed Web of Science® Google Scholar 8J. E. Tisdale, H. A. Jaynes, M. R. Watson, A. L. Corya, C. Shen, and K. A. Kesler, "Amiodarone for Prevention of Atrial Fibrillation Following Esophagectomy," Journal of Thoracic and Cardiovascular Surgery 158, no. 1 (2019): 301–310.e1, https://doi.org/10.1016/j.jtcvs.2019.01.095. 10.1016/j.jtcvs.2019.01.095 CAS PubMed Web of Science® Google Scholar 9J. M. Dieleman, P. S. Myles, L. Bulfone, et al., "Cost-Effectiveness of Routine Transoesophageal Echocardiography During Cardiac Surgery: A Discrete-Event Simulation Study," British Journal of Anaesthesia 124, no. 2 (2020): 136–145, https://doi.org/10.1016/j.bja.2019.10.023. 10.1016/j.bja.2019.10.023 PubMed Web of Science® Google Scholar Volume42, Issue10October 2025e70317 ReferencesRelatedInformation
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