Intravenous versus oral beta-blockers for prevention of post-CABG atrial fibrillation in high-risk patients identified by signal-averaged ECG: Lessons of a pilot study

Cardiac Electrophysiology Review

Volumn 7, Issue 2, 2003, Pages 158-161

  Maniar, Parimal B ^a   Balcetyte Harris, Nomeda ^a   Tamis, Jacqueline E ^a   Steinberg, Jonathan S ^a  

^a Och Spine at New York Presbyterian Hospitals   (United States)

Author keywords

Atrial fibrillation; Beta blockers; Coronary artery bypass surgery; Prevention; Signal averaged ECG

Indexed keywords

BETA ADRENERGIC RECEPTOR BLOCKING AGENT; ESMOLOL; HYPERTENSIVE FACTOR; METOPROLOL; PROPRANOLOL;

ARTICLE; CLINICAL ARTICLE; CLINICAL TRIAL; CONTROLLED CLINICAL TRIAL; CONTROLLED STUDY; CORONARY ARTERY BYPASS GRAFT; DISEASE ASSOCIATION; DISEASE DURATION; DRUG ADMINISTRATION ROUTE; DRUG EFFICACY; DRUG MECHANISM; HEART ATRIUM FIBRILLATION; HIGH RISK PATIENT; HOSPITALIZATION; HUMAN; HYPOTENSION; INCIDENCE; INTERMETHOD COMPARISON; LENGTH OF STAY; P WAVE; PILOT STUDY; POSTOPERATIVE COMPLICATION; RANDOMIZED CONTROLLED TRIAL; SIGNAL AVERAGED ELECTROCARDIOGRAPHY; TITRIMETRY; TREATMENT OUTCOME;

ADMINISTRATION, ORAL; ADRENERGIC BETA-ANTAGONISTS; ATRIAL FIBRILLATION; CORONARY ARTERY BYPASS; ELECTROCARDIOGRAPHY; HUMANS; INFUSIONS, INTRAVENOUS; PILOT PROJECTS; POSTOPERATIVE COMPLICATIONS; RISK FACTORS;

EID: 0348218235     PISSN: 13852264     EISSN: None     Source Type: Journal    
DOI: 10.1023/A:1027467617722     Document Type: Article

References (15)

1. Aranki SF, Shaw DP, Adams DH, Rizzo RJ, Couper GS, VanderVliet M, Collins JJ Jr, Cohn LH, Burstin HR. Predictors of atrial fibrillation after coronary artery surgery. Current trends and impact on hospital resources. Circulation 1996;94:390-397.
2. Ommen SR, Odell JA, Stanton MS. Atrial arrhythmias after cardiothoracic surgery. N Engl J Med 1997;336:1429-1434.
3. Hashimoto K, Ilstrup DM, Schaff HV. Influence of clinical and hemodynamic variables on risk of supraventricular tachycardia after coronary artery bypass. J Thorac Cardiovasc Surg 1991;101:56-65.
4. Mathew JP, Parks R, Savino JS, Friedman AS, Koch C, Mangano DT, Browner WS. Atrial fibrillation following coronary artery bypass graft surgery: Predictors, outcomes, and resource utilization. MultiCenter Study of Perioperative Ischemia Research Group. JAMA 1996;276:300-306.
5. Tamis JE, Steinberg JS. Atrial fibrillation independently prolongs hospital stay after coronary artery bypass surgery. Clin Cardiol 2000;23:155-159.
6. Steinberg JS, Zelenkofske S, Wong SC, Gelernt M, Sciacca R, Menchavez E. Value of the P-wave signal-averaged ECG for predicting atrial fibrillation after cardiac surgery. Circulation 1993;88:2618-2622.
7. Kalman JM, Munawar M, Howes LG, Louis WJ, Buxton BF, Gutteridge G, Tonkin AM. Atrial fibrillation after coronary artery bypass grafting is associated with sympathetic activation. Ann Thorac Surg 1995;60:1709-1715.
8. Caretta Q, Mercanti CA, De Nardo D, Chiarotti F, Scibilia G, Reale A, Marino B. Ventricular conduction defects and atrial fibrillation after coronary artery bypass grafting. Multivariate analysis of preoperative, intraoperative and postoperative variables. Eur Heart J 1991;12:1107-1111.
9. Kowey PR, Taylor JE, Rials SJ, Marinchak RA. Meta-analysis of the effectiveness of prophylactic drug therapy in preventing supraventricular arrhythmia early after coronary artery bypass grafting. Am J Cardiol 1992;69:963-965.
10. Stephenson LW, MacVaugh H, 3rd, Tomasello DN, Josephson ME. Propranolol for prevention of postoperative cardiac arrhythmias: A randomized study. Ann Thorac Surg 1980;29:113-116.
11. Andrews TC, Reimold SC, Berlin JA, Antman EM. Prevention of supraventricular arrhythmias after coronary artery bypass surgery. A meta-analysis of randomized control trials. Circulation 1991;84:III236-III244.
12. Balcetyte-Harris N, Tamis JE, Homel P, Menchavez E, Steinberg JS. Randomized study of early intravenous esmolol versus oral beta-blockers in preventing post-CABG atrial fibrillation in high risk patients identified by signal-averaged ECG: Results of a pilot study. Ann Noninvasive Electrocardiol 2002;7:86-91.
13. Abel RM, van Gelder HM, Pores IH, Liguori J, Gielchinsky I, Parsonnet V. Continued propranolol administration following coronary bypass surgery. Antiarrhythmic effects. Arch Surg 1983;118:727-731.
14. Podesser B, Schwarzacher S, Zwolfer W, Binder TM, Spatt J, Peschl F, Huber S, Seitelberger R. Combined perioperative infusion of nifedipine and metoprolol provides antiischemic and antiarrhythmic protection in patients undergoing elective aortocoronary bypass surgery. Thorac Cardiovasc Surg 1993;41:173-179.
15. Eagle KA, Guyton RA, Davidoff R, Ewy GA, Fonger J, Gardner TJ, Gott JP, Herrmann HC, Marlow RA, Nugent WC, O'Connor GT, Orszulak TA, Rieselbach RE, Winters WL, Yusuf S. ACC/AHA Guidelines for Coronary Artery Bypass Graft Surgery. A Report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Committee to Revise the 1991 Guidelines for Coronary Artery Bypass Graft Surgery). J Am Coll Cardiol 1999;34:1262-1347.