Characteristics of included trials
Studies | Size (n) | Mean age | Female (%) | Metoprolol maximum dose/day | Comparison dose/day | Time of treatment | Definition of AF | ECG monitoring | Surgery type |
Acikel et al22 | 110 | 60 | 28 | 100 mg | Carvedilol 25 mg | 3 days preoperatively, discontinued on the morning of surgery | AF >30 s | Continuous ECG | CABG |
Auer et al20 | 253 | 65 | 40 | 100 mg | Placebo; sotalol 240 mg | 24–48 hours preoperatively | AF >5 min | Continuous ECG | CABG, valve |
Haghjoo et al23 | 120 | 61 | 47 | 100 mg | Carvedilol 50 mg | 10 days preoperatively | AF >5 min | Continuous ECG | CABG |
Halonen et al18 | 316 | 63 | 18.6 | Intravenous 1–3 mg/hour | Amiodarone 15 mg/kg bodyweight | Within 24 hours after cardiac surgery continued for 48 hours | First AF episode in the 48 hours postoperation | Continuous ECG | CABG, valve |
Jalalian et al6 | 150 | 59 | 31 | 25 mg two times a day | Carvedilol 6.25 mg two times a day | First postoperative day until 5 days postoperation | Absence P wave, irregular QRS comple x >30 s | Continuous ECG | CABG |
Janssen et al24 | 151 | 58 | not reported | Intravenous 1 mg/kg, oral 50 mg three times a day | Placebo; sotalol intravenous 0.3 mg/kg, oral 80 mg three times a day | In the first hour after surgery and continued for 48 hours | SVTA >1 min with HR >100 beats/min or causing haemodynamic deterioration | 48 hours continuous monitoring ECG after complained of palpitation | CABG |
Lúcio et al21 | 100 | 61 | 27 | 100–300 mg/day | No treatment | 12 hours until 7 days postoperation | No definition | Continuous ECG for 2 to 3 days | CABG |
Onk and Erkut19 | 251 | 57.5 | 41 | 50 mg/day | Amiodarone 200 mg | 1 week before coronary bypass surgery and during postoperation | No definition | Continuous ECG monitoring | CABG |
Ozaydin et al25 | 311 | 63 | 25.7 | 200 mg | Carvedilol 25 mg | 7 days preoperatively | AF >5 min | Continuous ECG | CABG |
AF, atrial fibrillation; CABG, continuous artery bypass graft; HR, heart rate; SVTA, supraventricular tachyarrhythmia.