A Narrative Review of Atrial Fibrillation in the Perioperative Period Following Non-Cardiac Surgery - Takeaways - MDSpire

A Narrative Review of Atrial Fibrillation in the Perioperative Period Following Non-Cardiac Surgery

  • By

  • Elisabeth Richter

  • Rolf Wachter

  • David Conen

  • Ulrich Laufs

  • April 29, 2026

  • 0 min

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  • 1

    Perioperative atrial fibrillation (POAF) includes new-onset AF during surgery and the immediate postoperative period.

  • 2

    Incidence of non-cardiac surgery-related POAF varies from 1% in low-risk to over 30% in high-risk procedures.

  • 3

    POAF peaks in the first week post-surgery, particularly around the second and third postoperative days.

  • 4

    Complications of POAF include thromboembolic events, hemodynamic instability, and increased long-term cardiovascular risks.

  • 5

    The review synthesizes evidence on incidence, risk factors, and management of POAF specifically in non-cardiac surgery.

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