Postoperative Herzrhythmusstörungen

Natalie Baldes; Thomas Bergmann; Servet Bölükbas

doi:10.1055/a-0767-7380

Zentralblatt für Chirurgie - Zeitschrift für Allgemeine, Viszeral-, Thorax- und Gefäßchirurgie, Table of Contents

Zentralbl Chir 2019; 144(S 01): S12-S19
DOI: 10.1055/a-0767-7380

Übersicht

Georg Thieme Verlag KG Stuttgart · New York

Postoperative Herzrhythmusstörungen

Postoperative Arrhythmias

Natalie Baldes

Klinik für Thoraxchirurgie, Kliniken Essen-Mitte, Evangelische Huyssens-Stiftung/Knappschaft GmbH, Essen, Deutschland

,

Thomas Bergmann

Klinik für Thoraxchirurgie, Kliniken Essen-Mitte, Evangelische Huyssens-Stiftung/Knappschaft GmbH, Essen, Deutschland

,

Servet Bölükbas

Klinik für Thoraxchirurgie, Kliniken Essen-Mitte, Evangelische Huyssens-Stiftung/Knappschaft GmbH, Essen, Deutschland

› Author Affiliations

Abstract

Zusammenfassung

Herzrhythmusstörungen gehören zu den häufigsten Komplikationen nach Lungenresektionen. Diese verzögern oft die Rekonvaleszenz und können sich auf die kurz- und langfristige Prognose der Patienten auswirken. Die vorliegende Übersichtsarbeit konzentriert sich auf die Pathophysiologie, die Risikofaktoren, die Prävention sowie die Therapie insbesondere des Vorhofflimmerns bei Patienten nach Lungenresektionen.

Abstract

Arrhythmias are common after pulmonary resection. They often complicate the patientʼs recovery and can have an effect on the short-term and long-term prognosis. The aim of the following review is to give an overview of risk factors, prevention and therapy of arrhythmias following lung surgery.

Schlüsselwörter

postoperative Arrhythmie - Lungenresektion - postoperative Komplikation

Key words

postoperative arrhythmia - lung resection - postoperative complications

Full Text

References

Literatur
1 Kristensen SD, Knuuti J, Saraste A. et al. 2014 ESC/ESA Guidelines on noncardial surgery: cardiovascular assessment and management. Eur Heart J 2014; 35: 2383-2431
2 Fleisher LA, Fleischmann KE, Auerbach AD. et al. 2014 ACC/AHA guideline on perioperative cardiovascular evaluation and management of patients undergoing noncardiac surgery. J Am Coll Cardiol 2014; 64: 77-137
3 Harpole DH, Liptay MJ, DeCamp jr. MM. et al. Prospective analysis of pneumonectomy: risk factors for major morbidity and cardiac dysrhythmias. Ann Thorac Surg 1996; 61: 977-982
4 Vaporciyan AA, Correa AM, Rice DC. et al. Risk factors associated with atrial fibrillation after noncardiac thoracic surgery: analysis of 2588 patients. J Thorac Cardiovasc Surg 2004; 127: 779-786
5 Curtis JJ, Parker BM, McKenney CA. et al. Incidence and predictors of supraventricular dysrhythmias after pulmonary resection. Ann Thorac Surg 1998; 66: 1766-1771
6 Lanza LA, Visbal AI, DeValeria PA. et al. Low-dose oral amiodarone prophylaxis reduces atrial fibrillation after pulmonary resection. Ann Thorac Surg 2003; 75: 223-230
7 Park BJ, Zhang H, Rusch VW. et al. Video-assisted thoracic surgery does not reduce the incidence of postoperative atrial fibrillation after pulmonary lobectomy. J Thorac Cardiovasc Surg 2007; 133: 775-779
8 Seely AJE, Ivanovic J, Threader J. et al. Systematic classification of morbidity and mortality after thoracic surgery. Ann Thorac Surg 2010; 90: 936-942
9 Passman RS, Gingold DS, Amar D. et al. Prediction rule for atrial fibrillation after major noncardiac thoracic surgery. Ann Thorac Surg 2005; 79: 1698-1703
10 Allen MS, Darling GE, Pechet TT. et al. Morbidity and mortality of major pulmonary resections in patients with early-stage lung cancer: initial results of the randomized, prospective ACOSOG Z0030 trial. Ann Thorac Surg 2006; 81: 1013-1019
11 Onaitis M, Dàmico T, Zhao Y. et al. Risk factors for atrial fibrillation after lung cancer surgery: analysis of the Society of Thoracic Surgeons general thoracic surgery database. Ann Thorac Surg 2010; 90: 368-374
12 Roselli EE, Murthy SC, Rice TW. et al. Atrial fibrillation complicating lung cancer resection. J Thorac Cardiovasc Surg 2005; 130: 438-444
13 Amar D, Burt M, Reinsel RA. et al. Relationship of early postoperative dysrhythmias and long-term outcome after resection of non-small cell lung cancer. Chest 1996; 110: 437-439
14 von Knorring J, Lepantalo M, Lingren L. et al. Cardiac arrhythmias and myocardial ischemia after thoracotomy for lung cancer. Ann Thorac Surg 1992; 53: 642-647
15 Muranishi Y, Sonobe M, Menju T. et al. Atrial fibrillation after lung cancer surgery: incidence, severity, and risk factors. Surg Today 2017; 47: 252-258
16 Ueda T, Suzuki K, Matsunaga T. et al. Postoperative atrial fibrillation is less frequent in pulmonary segmentectomy compared with lobectomy. Gen Thorac Cardiovasc Surg 2018; 66: 95-100
17 Kavurmaci O, Akcam TI, Ergonul AG. et al. Is the risk of postoperative atrial fibrillation predictable in patients undergoing surgery due to primary lung cancer?. Heart Lung Circ 2018; 27: 835-841
18 Riber LP, Larsen TB, Christensen TD. Postoperative atrial fibrillation prophylaxis after lung surgery: systematic review and meta-analysis. Ann Thorac Surg 2014; 98: 1989-1997
19 Lee SH, Ahn HJ, Yeon SM. et al. Potentially modifiable risk factors for atrial fibrillation following lung resection surgery: a retrospective cohort study. Anaesthesia 2016; 71: 1424-1430
20 Lee JK, Klein GJ, Yee R. et al. Rate control versus conversion strategy in postoperative atrial fibrillation: a prospective, randomized pilot study. Am Heart J 2000; 140: 871-877
21 Barbetakis N, Vassiliadis M. Is amiodarone a safe antiarrhythmic to use in supraventricular tachyarrhythmias after lung cancer surgery?. BMC Surg 2004; 4: 7
22 Wahi R, McMurtrey MJ, DeCaro LF. et al. Determinants of perioperative morbidity and mortality after pneumonectomy. Ann Thorac Surg 1989; 48: 33-37
23 Imperatori A, Mariscalco G, Riganti G. et al. Atrial fibrillation after pulmonary lobectomy for lung cancer affects long-term survival in a prospective single-center study. J Cardiothorac Surg 2012; 7: 4
24 Brathwaite D, Weissman C. The new onset of atrial arrhythmias following major noncardiothoracic surgery is associated with increased mortality. Chest 1998; 114: 462-468
25 Krowka MJ, Pairolero PC, Trastek VF. et al. Cardiac dysrhythmia following pneumonectomy. Clinical correlates and prognostic significance. Chest 1987; 91: 490-495
26 Rosen JE, Hancock JG, Kim AW. et al. Predictors of mortality after surgical management of lung cancer in the National Cancer Database. Ann Thorac Surg 2014; 98: 1953-1960
27 Amar D, Zhang H, Miodownik S. et al. Competing autonomic mechanisms precede the onset of postoperative atrial fibrillation. J Am Coll Cardiol 2003; 42: 1262-1268
28 Watson T, Arya A, Sulke N. et al. Relationship of indices of inflammation and thrombogenesis to arrhythmia burden in paroxysmal atrial fibrillation. Chest 2010; 137: 869-876
29 Villamizar NR, Darrabie MD, Burfeind WR. et al. Thoracoscopic lobectomy is associated with lower morbidity compared with thoracotomy. J Thorac Cardiovasc Surg 2009; 138: 419-425
30 Xin Y, Hida Y, Kaga K. et al. Left lobectomy might be a risk factor for atrial fibrillation following pulmonary lobectomy. Eur J Cardiothorac Surg 2014; 45: 247-250
31 Ivanovic J, Maziak DE, Ramzan S. et al. Incidence, severity and perioperative risk factors for atrial fibrillation following pulmonary resection. Interact Cardiovasc Thorac Surg 2014; 18: 340-346
32 Nojiri T, Maeda H, Takeuchi Y. et al. Predictive value of B-type natriuretic peptide for postoperative atrial fibrillation following pulmonary resection for lung cancer. Eur J Cardiothorac Surg 2010; 37: 787-791
33 Hollings DD, Higgins RS, Faber LP. et al. Age is a strong risk factor for atrial fibrillation after pulmonary lobectomy. Am J Surg 2010; 199: 558-561
34 Amar D, Zhang H, Shi W. et al. Brain natriuretic peptide and risk of atrial fibrillation after thoracic surgery. J Thorac Cardiovasc Surg 2012; 144: 1249-1253
35 Lee CY, Bae MK, Lee JG. et al. N-terminal pro-B-type natriuretic peptide is useful to predict cardiac complications following lung resection surgery. Korean J Thorac Cardiovasc Surg 2011; 44: 44-50
36 Cardinale D, Colombo A, Sandri MT. et al. Increased perioperative N-terminal pro-B-type natriuretic peptide levels predict atrial fibrillation after thoracic surgery for lung cancer. Circulation 2007; 115: 1339-1344
37 Nojiri T, Yamamoto K, Maeda H. et al. Effect of low-dose human atrial natriuretic peptide on postoperative atrial fibrillation in patients undergoing pulmonary resection for lung cancer: a double-blind, placebo-controlled study. J Thorac Cardiovasc Surg 2012; 143: 488-494
38 Amar D, Roistacher N, Burt M. et al. Clinical and echocardiographic correlates of symptomatic tachydysrhythmias after noncardiac thoracic surgery. Chest 1995; 108: 349-354
39 Raman T, Roistacher N, Liu J. et al. Preoperative left atrial dysfunction and risk of postoperative atrial fibrillation complicating thoracic surgery. J Thorac Cardiovasc Surg 2012; 143: 482-487
40 Al-Omari MA, Finstuen J, Appleton CP. et al. Echocardiographic assessment of left ventricular diastolic function and filling pressure in atrial fibrillation. Am J Cardiol 2008; 101: 1759-1765
41 Tsang TS, Gersh BJ, Appleton CP. et al. Left ventricular diastolic dysfunction as a predictor of the first diagnosed nonvalvular atrial fibrillation in 840 elderly men and women. J Am Coll Cardiol 2002; 40: 1636-1644
42 Nojiri T, Inoue M, Yamamoto K. et al. Inhaled tiotropium to prevent postoperative cardiopulmonary complications in patients with newly diagnosed chronic obstructive pulmonary disease requiring lung cancer surgery. Surg Today 2014; 44: 285-290
43 Nojiri T, Maeda H, Takeuchi Y. et al. Predictive value of preoperative tissue Doppler echocardiographic analysis for postoperative atrial fibrillation after pulmonary resection for lung cancer. J Thorac Cardiovasc Surg 2010; 140: 764-768
44 Mita N, Kuroda M, Miyoshi S. et al. Association of preoperative right and left ventricular diastolic dysfunction with postoperative atrial fibrillation in patients undergoing lung surgery: a prospective observational study. J Cardiothorac Vasc Anesth 2017; 31: 464-473
45 Kirchhof P, Benussi S, Kotecha D. et al. ESC 2016 Guidelines for the Management of Atrial Fibrillation Developed in Collaboration With EACTS. Eur J Cardiothorac Surg 2016; 50: 5
46 Van Mieghem W, Coolen L, Malysse I. et al. Amiodarone and the development of ARDS after lung surgery. Chest 1994; 105: 1642-1645
47 Berry MF, DʼAmico TA, Onaitis MW. Use of amiodarone after major lung resection. Ann Thorac Surg 2014; 98: 1199-1206
48 Bobbio A, Caporale D, Internullo E. et al. Postoperative outcome of patients undergoing lung resection presenting with new-onset atrial fibrillation managed by amiodarone or diltiazem. Eur J Cardiothorac Surg 2007; 31: 70-74
49 Ciriaco P, Mazzone P, Canneto B. et al. Supraventricular arrhythmia following lung resection for non-small cell lung cancer and its treatment with amiodarone. Eur J Cardiothorac Surg 2000; 18: 12-16
50 Fernando HC, Jaklitsch MT, Walsh GL. et al. The STS practice guideline on the prophylaxis and management of atrial fibrillation associated with general thoracic surgery: an executive summary. Ann Thorac Surg 2011; 92: 1144-1152
51 Kowey PR, Dorian P, Mitchell LB. et al. Vernakalant hydrochloride for the rapid conversion of atrial fibrillation after cardiac surgery: a randomized, double-blind, placebo-controlled trial. Circ Arrhythm Electrophysiol 2009; 2: 652-659
52 Amar D. Postoperative atrial fibrillation. Heart Dis 2002; 4: 117-123
53 Jakobsen CJ, Bille S, Ahlburg P. et al. Perioperative metoprolol reduces the frequency of atrial fibrillation after thoracotomy for lung resection. J Cardiothorac Vasc Anesth 1997; 11: 746-751
54 Bayliff CD, Massel DR, Inculet RI. et al. Propranolol for the prevention of postoperative arrhythmias in general thoracic surgery. Ann Thorac Surg 1999; 67: 182-186
55 Cardinale D, Sandri MT, Colombo A. et al. Prevention of atrial fibrillation in high-risk patients undergoing lung cancer surgery: the PRESAGE trial. Ann Surg 2016; 264: 244-251
56 Amar D, Roistacher N, Rusch VW. et al. Effects of diltiazem prophylaxis on the incidence and clinical outcome of atrial arrhythmias after thoracic surgery. J Thorac Cardiovasc Surg 2000; 120: 790-798
57 Van Mieghem W, Tits G, Demuynck K. et al. Verapamil as prophylactic treatment for atrial fibrillation after lung operations. Ann Thorac Surg 1996; 61: 1083-1086
58 Lindgren L, Lepäntalo M, von Knorring J. et al. Effect of verapamil on right ventricular pressure and atrial tachyarrhythmia after thoracotomy. Br J Anaesth 1991; 66: 205-211
59 Tisdale JE, Wroblewski HA, Wall DS. et al. A randomized trial evaluating amiodarone for prevention of atrial fibrillation after pulmonary resection. Ann Thorac Surg 2009; 88: 886-893
60 Riber LP, Christensen TD, Jensen HK. et al. Amiodarone significantly decreases atrial fibrillation in patients undergoing surgery for lung cancer. Ann Thorac Surg 2012; 94: 339-346
61 Zimetbaum P. Amiodarone for atrial fibrillation. N Engl J Med 2007; 356: 935-941
62 Terzi A, Furlan G, Chiavacci P. et al. Prevention of atrial tachyarrhythmias after non-cardiac thoracic surgery by infusion of magnesium sulfate. J Thorac Cardiovasc Surg 1996; 44: 300-303
63 Ritchie AJ, Danton M, Gibbons JR. Prophylactic digitalisation in pulmonary surgery. Thorax 1992; 47: 41-43
64 Amar D, Roistacher N, Burt ME. et al. Effects of diltiazem versus digoxin on dysrhythmias and cardiac function after pneumonectomy. Ann Thorac Surg 1997; 63: 1374-1381
65 Oka T, Ozawa Y, Ohkubo Y. Thoracic epidural bupivacaine attenuates supraventricular tachyarrhythmias after pulmonary resection. Anesth Analg 2001; 93: 253-259
66 Komatsu R, Makarova N, Dalton JE. et al. Association of thoracic epidural analgesia with risk of atrial arrhythmias after pulmonary resection: a retrospective cohort study. J Anesth 2015; 29: 47-55
67 Haverkamp W, Hachenberg T. Post-thoracotomy dysrhythmia. Curr Opin Anaesthesiol 2016; 29: 26-33
68 Appelboam A, Reuben A, Mann C. et al. Postural modification to the standard Valsalva manoeuvre for emergency treatment of supraventricular tachycardias (REVERT): a randomised controlled trial. Lancet 2015; 386: 1747-1753
69 Amar D, Zhang H, Roistacher N. The incidence and outcome of ventricular arrhythmias after noncardiac thoracic surgery. Anesth Analg 2002; 95: 537-543
70 Topol EJ, Lerman BB, Baughman KL. et al. De novo refractory ventricular tachyarrhythmias after coronary revascularization. Am J Cardiol 1986; 57: 57-59
71 Stamou SC, Hill PC, Stample GA. et al. Prevention of atrial fibrillation after cardiac surgery. The significance of postoperative oral amiodarone. Chest 2001; 120: 1936-1941
72 Yeung-Lai-Wah JA, Qi A, McNeill E. et al. New-onset sustained ventricular tachycardia and fibrillation after cardiac operations. Ann Thorac Surg 2004; 77: 2083-2088
73 Ascione R, Reeves BC, Santo K. et al. Predictors of new malignant ventricular arrhythmias after coronary surgery. J Am Coll Cardiol 2004; 43: 1630-1638
74 Heintz KM, Hollenberg SM. Perioperative cardiac issues: postoperative arrhythmias. Surg Clin North Am 2005; 85: 1103-1114
75 Forrest JB, Rehder K, Cahalan MK. et al. Multicenter study of general anesthesia. III. Predictors of severe perioperative adverse outcomes. Anesthesiology 1992; 76: 3-15
76 Peretto G, Durante A, Limite LR. et al. Postoperative arrhythmias after cardiac surgery: incidence, risk factors, and therapeutic management. Cardiol Res Pract 2014; 2014: 615987