Atrial Fibrillation
Conditions
Keywords
Atrial fibrillation, coronary bypass, Amiodarone, Propranolol, Coronary Artery Bypass Graft (CABG)
Brief summary
Atrial fibrillation is the most common arrhythmia post coronary bypass surgery, currently B-blockers are the class I indication to prevent AF post CABG. We decide to evaluate use of propranolol and amiodarone separately and together to find a better prophylaxis for AF peri-CABG
Detailed description
In this double blind randomized study 240 consecutive patients underwent elective coronary artery bypass grafting, being randomized prospectively into three groups, propranolol (p) (n=80), amiodarone (A) (n=80) and amiodarone with propranolol (AP) (n=80). All groups received their medications from 7 days preoperatively and continued their medications for 5 days post CABG.
Interventions
Amiodarone and Propranolol 7 days pre-operation to 5 days post CABG
Amiodarone treated 7 days pre-operation to 5 days post CABG
Propranolol from 7 days pre-operation to 5 days post CABG
Sponsors
Study design
Eligibility
Inclusion criteria
* Patient who are going to have elective CABG * Signing informed consent
Exclusion criteria
* EF\<35% * Bradycardia\<60 per min * Hypotension\< 100 mmhg
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| incidence of atrial fibrillation post CABG | 7 days post CABG |
Secondary
| Measure | Time frame |
|---|---|
| bradycardia, mortality, hypotension, morbidity | 7 days post CABG |
Countries
Iran