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The Surgical Unit, Papworth Hospital, Papworth Everard, Cambridgeshire CB3 8RE, United Kingdom
(Email: stephen.large@papworth.nhs.uk).
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Postoperative atrial fibrillation (POAF) after heart surgery is a demanding problem. It is responsible for increased bed days and thus increased costs, and may be responsible for the life-threatening issues of low output syndrome, stroke, and bowel infarction. The incidence of POAF depends on its definition. Certainly, it is very common, at about 60%, if defined as any episode of irregular, narrow complex tachycardia after heart surgery as identified by continuous monitoring during the defined period of review.
Cohn and colleagues [1] seek to describe the incidence of POAF in 500 consecutive heart transplant recipients as recognized in their retrospective review of patient records. Their review period was the first 30 days after transplantation. Clearly, by choice
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