Core IM | Internal Medicine Podcast #117 Atrial Fibrillation: Gray Matters Segment
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Jan 18, 2023 AI Snips
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Sick AFib Mirrors Community AFib
- Post-op and sepsis-associated AFib (non-cardiac) behaves similarly to paroxysmal AFib in the community.
- These patients carry increased long-term AFib and stroke risk versus the general population without AFib.
Anticoagulation Works Post-Op Too
- Retrospective Danish data show anticoagulation reduces thromboembolism similarly in post-op AFib and community AFib.
- Guidelines therefore consider anticoagulation for AFib after non-cardiac surgery.
Coordinate Timing With Surgery
- Resume anticoagulation timing post-op depends on surgical bleeding risk and procedure site; consult surgery.
- Surgeons generally consider 4–12 hours for technical hemostasis, but some operations need days before restarting.