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    Card Electrophysiol Rev. 2003 Jun;7(2):189-92.

    Atrial fibrillation after cardiac surgery: update on the evidence on the available prophylactic interventions.

    Crystal E, Healey J, Connolly SJ.

    Source

    Department of Medicine, Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada. eugene.crystal@sw.ca

    Abstract

    Post-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.

    PMID:
    14618049
    [PubMed - indexed for MEDLINE]

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