The Year in Cardiothoracic and Vascular Anesthesia: Selected Highlights From 2014

Gutsche, Jacob T.; Patel, Prakash A.; Cobey, Frederick C.; Ramakrishna, Harish; Gordon, Emily K.; Říha, Hynek; Sophocles, Aris; Ghadimi, Kamrouz; Fabbro, Michael; Al-Ghofaily, Lourdes; Chern, Sy Yeu S.; Cisler, Sophia; Sahota, Gurmukh; Valentine, Elizabeth; Weiss, Stuart J.; Andritsos, Michael; Silvay, George; Augoustides, John

doi:10.1053/j.jvca.2014.10.002

Cited by 2 publications

(2 citation statements)

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“…Previous studies have reported that patients following cardiac surgery (CS) may have a 10% to 30% risk of POAF [1]. Furthermore, research has indicated that approximately 40% to 60% of individuals encounter POAF following coronary artery bypass grafting (CABG) or cardiac valve surgery [2,3]. In patients undergoing cardiac surgery, perioperative arrhythmia, particularly atrial fbrillation (AF), in individuals undergoing CS has been associated with increased rates of morbidities, mortality, duration of hospitalization, and medical costs [4][5][6][7][8][9][10][11].…”

Section: Introductionmentioning

confidence: 99%

The Effects of Propafenone on Postoperative Atrial Fibrillation in Adult Patients Undergoing Cardiac Surgery: A Meta-Analysis of Randomized Controlled Trials

Deng,

Li,

et al. 2024

Journal of Cardiac Surgery

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Background. Previous research has only conducted a restricted amount of investigations on the effectiveness of propafenone in preventing and treating of atrial fibrillation (AF) after cardiac surgery. Hence, a comprehensive evaluation and meta-analysis were performed to evaluate the effectiveness and safety of propafenone in individuals undergoing cardiac surgery for postoperative atrial fibrillation (POAF). Methods. A meta-analysis of randomized controlled trials was conducted. Until September 15th, 2023, various databases were searched. The main focal points consisted of the presence of POAF, transition from AF to sinus rhythm, and reappearance of AF. The odds ratios (ORs) for treatment effects on dichotomous variables were calculated. Results. The analysis of data included 9 controlled trials that were randomized and had 1014 patients. The findings indicated that propafenone has a significant impact on reducing the occurrence of POAF in adult patients who undergo cardiac surgery (OR, 0.52; 95% CI: 0.30, 0.89; P=0.02). In addition, it was observed that propafenone significantly increase the rate of conversion to sinus rhythm from AF within 20 min (OR, 5.39; 95% CI: 2.25, 12.91; P=0.0002) and 1 hour (OR, 2.89; 95% CI: 1.50, 5.57; P=0.002) after administration. Surprisingly, the administration of propafenone treatment did not have a significant impact on the rate of conversion to sinus rhythm from AF within 24 hours (OR, 0.63; 95% CI: 0.38, 1.04; P=0.07) after administration. Conclusions. The present study suggests that the postoperative administration of propafenone to adult cardiac surgery patients is both safe and effective for preventing and treating POAF.

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Section: Introductionmentioning

confidence: 99%

The Effects of Propafenone on Postoperative Atrial Fibrillation in Adult Patients Undergoing Cardiac Surgery: A Meta-Analysis of Randomized Controlled Trials

Deng,

Li,

et al. 2024

Journal of Cardiac Surgery

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“…T HIS ARTICLE IS the eighth in an annual series for the Journal of Cardiothoracic and Vascular Anesthesia. 1 The authors thank the editor-in-chief, Dr. Kaplan, and the editorial board for the opportunity to continue this series, namely the research highlights of the year that pertain to the specialty of cardiothoracic and vascular anesthesia. The major themes selected for this past year are outlined in this introduction, and each highlight is reviewed in detail in the main body of the article.…”

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confidence: 99%

The Year in Cardiothoracic and Vascular Anesthesia: Selected Highlights From 2015

Ramakrishna

Gutsche

Evans

et al. 2016

Journal of Cardiothoracic and Vascular Anesthesia

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The Year in Cardiothoracic and Vascular Anesthesia: Selected Highlights From 2014

Cited by 2 publications

References 68 publications

The Effects of Propafenone on Postoperative Atrial Fibrillation in Adult Patients Undergoing Cardiac Surgery: A Meta-Analysis of Randomized Controlled Trials

The Effects of Propafenone on Postoperative Atrial Fibrillation in Adult Patients Undergoing Cardiac Surgery: A Meta-Analysis of Randomized Controlled Trials

The Year in Cardiothoracic and Vascular Anesthesia: Selected Highlights From 2015

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