This review suggests that postoperative atrial fibrillation may stem from underlying patient susceptibility rather than being solely a surgical complication, advocating for future research into histological changes in atrial conductive tissue.
Most postoperative AF studies add no new data; leaves open patient susceptibility over surgical factors alone, warranting histological research.
Post cardiac surgery atrial fibrillation is a multi-factorial and complex condition. Cardiac surgery may be a risk factor for developing POAF in patients already susceptible to this condition and may not be a complication of cardiac surgery. Future studies should mainly focus on histological changes in the conductive tissue of atrium and related treatment strategies rather than predictive factors of POAF and more funding should be made available to study this condition from new and entirely different perspectives.
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Attaran et al. (2012) conducted a review in Postoperative Atrial Fibrillation (POAF). Predictive and preventative factors was evaluated on Originality and contribution of POAF studies published in 2011.
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