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. 2024 Feb 23;16(2):1503–1520. doi: 10.21037/jtd-23-1626

Table 3. Summary of practical recommendations and appropriate candidates.

Phase of care Treatment/intervention POAF prevention AF/POAF treatment Stroke prevention
Preoperative Oral beta-blocker XX
Preoperative amiodarone in patients at high risk of POAF XX
Perioperative amiodarone XX
Intraoperative Posterior pericardiotomy XX
Surgical ablation for atrial fibrillation XX XX
Surgical occlusion of the LAA may be considered in patients with AF undergoing cardiac surgery as part of the overall heart team approach XX
Postoperative Beta-blocker for rate control XX
Nondihydropyridine calcium channel blocker for rate control XX
Restoration of sinus rhythm by electrical cardioversion of antiarrhythmic drugs recommended for POAF with hemodynamic instability XX
Asymptomatic AF initially managed with rate control and anticoagulation XX
Long-term anticoagulation should be considered in patients with POAF, considering individual stroke and bleeding risk XX
Antiarrhythmic drugs or cardioversion for symptomatic POAF to restore NSR XX
Prophylactic sotalol to prevent POAF after cardiac surgery XX
Colchicine to reduce POAF XX

XX indicates that the guidelines include this recommendation. POAF, postoperative atrial fibrillation; AF, atrial fibrillation; LAA, left atrial appendage; NSR, normal sinus rhythm.