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Card Electrophysiol Rev · Jun 2003
ReviewAtrial fibrillation after cardiac surgery: update on the evidence on the available prophylactic interventions.
- Eugene Crystal, Jeff Healey, and Stuart J Connolly.
- Department of Medicine, Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada. eugene.crystal@sw.ca
- Card Electrophysiol Rev. 2003 Jun 1;7(2):189-92.
AbstractPost-operative atrial fibrillation is very common. It is associated with increased length of ICU and hospital stay, and costs of post-operative care of patients after cardiac surgery. More then seventy trials on the pharmacological and non-pharmacological interventions were conducted since 1970's. Meta-analysis of these trials, together with detailed analysis of the largest of these trials suggested that conventional beta-blockers, sotalol, amiodarone and bi-atrial overdrive pacing are effective in prevention of post-operative atrial fibrillation. Amiodarone and bi-atrial pacing may decrease the length of hospital stay.
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