![]() ![]() AFib may also be brought on by untreated related conditions. Larry Cohn for sharing his clinical expertise and research with our patient and caregiver community. It’s the most common complication after heart surgery, according to the American Heart Association. Thanks to Joanie for her question and a special thanks to Dr. Fluid retention/acute congestive heart failure (leg swelling, weight gain, difficulty breathing, particularly with activity or lying flat, abdominal distension). Edema like this should be gone in approximately three weeks at the very latest.” He also noted, “The judicious use of diuretics postoperatively, quickly releases this fluid from the edematous tissues and the patient excretes this extra water out within a few days. This can be even worse if the patient has been in heart failure prior to the surgery where these changes will be even more magnified post-operatively.” As the right heart failure worsens, the upper legs swell and eventually the abdomen collects fluid (ascites). ![]() Thus, it is extremely common for people to gain weight following open heart surgery of any kind, especially mitral valve surgery. LV filling may also be impaired by the sudden development of atrial fibrillation with the accompanying loss of atrial contraction, which may substantially increase filling pressures when there is already pre-existing diastolic dysfunction. Non-pitting edema is not caused by heart failure. Also, surgery causes some hormonal changes which can cause fluid retention. Summary: Fluid retention is found among people with Atrial fibrillation/flutter, especially for people who are female, 60+ old. is often linked to a similar heart rhythm called atrial fibrillation (AFib). This is because in most institutions, like Brigham & Women’s, no blood is used and it is mostly saline in the heart lung machine to dilute the patients blood elements, thus causing some fluid retention. Aim: The '2022 AHA/ACC/HFSA Guideline for the Management of Heart Failure' replaces the '2013 ACCF/AHA Guideline for the Management of Heart Failure' and the '2017 ACC/AHA/HFSA Focused Update of the 2013 ACCF/AHA Guideline for the Management of Heart Failure. Swelling in your feet and legs (fluid retention) if you have heart failure. Cohn shared, “Retention of fluid following all forms of heart surgery, especially mitral valve surgery, is very common. In his response to Joanie’s question about weight gain after heart surgery, Dr. AF may facilitate the development or progression of heart failure in several ways ( Figure 1 ).
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