Key result
Medical treatment strategies for stable patients developing atrial fibrillation post cardiac surgery lack sufficient evidence to support any one strategy over another.
Why the study?
Does any specific medical strategy improve outcomes in stable patients going into atrial fibrillation post cardiac surgery?
Does any specific medical strategy improve outcomes in stable patients going into atrial fibrillation post cardiac surgery?
Current evidence is insufficient to recommend a specific optimal medical strategy for stable patients developing atrial fibrillation after cardiac surgery.
Insufficient evidence precludes recommending any specific strategy for stable post-cardiac surgery AF; leaves open optimal management pending further RCTs.
A best evidence topic in cardiac surgery was written according to a structured protocol. The question addressed was which medical strategy is the optimal treatment for stable patients going into atrial fibrillation post cardiac surgery. Altogether 281 papers were found from medline and 83 from the Cochrane Central Register of Controlled Trials using the reported search, of which 12 presented the best evidence to answer the clinical question. The author, journal, date and country of publication, patient group studied, study type, relevant outcomes, results, and study weaknesses of these papers are tabulated. We conclude that there is very little evidence to support any one strategy over another.
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Joel Dunning (2004) conducted a review in Atrial fibrillation post cardiac surgery. Medical treatment strategies vs. Alternative medical strategies was evaluated on Optimal medical treatment. Medical treatment strategies for stable patients developing atrial fibrillation post cardiac surgery lack sufficient evidence to support any one strategy over another.
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