tachyarrhythmia
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Patients after cardiovascular surgery *postoperative atrial fibrillation / atrial flutter with a ventricular rate more than or equal to 110 b.p.m. for a duration more than or equal to 5 min within 7 days after surgery
Exclusion criteria
Exclusion criteria: (1) acute myocardial infarction within 3 days (2) supraventricular arrhythmia (3) sick sinus syndrome (containing patients with pacemaker) (4) grave heart failure (preoperative NYHA Classification of the Stages of Heart Failure, more than or equal to third degree) (5) atrioventricular block, more than or equal to second degree (6) contraindication to beta-blockers or , calcium channel blockers (7) electrolyte imbalance, WPW syndrome or hyperthyroidism (8) blood pressure < 90/60 mmHg (9) postoperative peroral use of beta-blockers or, calcium channel blockers (10) use of operative and postoperative antiarrhythmic medications excluding Digitalis
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Atrial fibrillation / atrial flutter (heart rate control, converting rate to normal sinus rhythm, palindromia rate) | — |
Secondary
| Measure | Time frame |
|---|---|
| Ischemic changes Changes of blood pressure Manifestation rate of bradycardia,atrioventricular block and cardiovascular events Length of ICU and hospitalization Cost of medical care after cardiovascular surgery Mortality rate in nosocomial | — |
Countries
Japan
Contacts
Nippon Medical School Department of Anesthesiolgy