Atrial fibrillation or flutter following cardiac surgery
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Patients undergoing cardiac surgery
Exclusion criteria
Exclusion criteria: 1. Patients with chronic or paroxysmal atrial fibrillation 2. Patients receiving antiarrhythmic agents: Ia, IIc and IV groups 3. Patients with sick sinus syndrome 4. Patients with higher than 2 degree atrioventricular block 5. Heart failure patients with EF less than 30% 6. Patients with bronchial asthma 7. Patients receiving beta blockers
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| This study is a randomized open-label controlled trial. An ultra-short acting beta- blocker (landiolol hydrochloride) is intravenously given immediately after cardiac surgery, followed by oral carvedilol in the patients randomized to treatment group. The incidence of postoperative atrial fibrillation / flutter during 7days after operation is evaluated as a major outcome. | — |
Secondary
| Measure | Time frame |
|---|---|
| The autonomic changes are evaluated by the analysis of heart rate variability (Holter recording analysis) as secondary outcomes. | — |
Countries
Japan
Contacts
Shimane University Faculty of Medicine Department of Cardiovascular and Thoracic Surgery