The Living Guidelines: Patients with postoperative atrial fibrillation: Polling Results for CLASS IIa Guidelines

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Class IIa Guidelines
1. Preoperative administration of amiodarone reduces the incidence of AF in patients undergoing cardiac surgery and represents appropriate prophylactic therapy for patients at high risk for po[stoperative AF. (Level of Evidence: A)

 ACC / AHA 2008 guidelines for diagnosis and management of atrial fibrillation: Class IIa Recommendation 1 for patients with postoperative atrial fibrillation should be: CLASS I CLASS IIa CLASS IIb CLASS III 2. It is reasonable to restore sinus rhythm by pharmacological cardioversion with ibutilide or direct current cardioversion in patients who develop postoperative AF as advised for nonsurgical patients. (Level of Evidence: B)

 ACC / AHA 2008 guidelines for diagnosis and management of atrial fibrillation: Class IIa Recommendation 2 for patients with postoperative atrial fibrillation should be: CLASS I CLASS IIa CLASS IIb CLASS III 3. It is reasonable to administer antiarrhythmic medications in an attempt to maintain sinus rhythm in patients with recurrent or refractory postoperative AF, as recommended for other patients who develop AF. (Level of Evidence: B)

 ACC / AHA 2008 guidelines for diagnosis and management of atrial fibrillation: Class IIa Recommendation 3 for patients with postoperative atrial fibrillation should be: CLASS I CLASS IIa CLASS IIb CLASS III 4. It is reasonable to administer antithrombotic medication in patients who develop postoperative AF, as recommended for nonsurgical patients. (Level of Evidence: B)

 ACC / AHA 2008 guidelines for diagnosis and management of atrial fibrillation: Class IIa Recommendation 4 for patients with postoperative atrial fibrillation should be: CLASS I CLASS IIa CLASS IIb CLASS III