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August 15, 2000CirculationOpen Access

Effects of Biatrial Pacing in Prevention of Postoperative Atrial Fibrillation After Coronary Artery Bypass Surgery

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Why the study?

Does biatrial overdrive pacing prevent postoperative atrial fibrillation in patients undergoing CABG?

Population

132 patients with no history of atrial fibrillation who underwent coronary artery bypass surgery (CABG)

Comparison

Biatrial overdrive pacing for 5 days in the… vs Left atrial pacing, right atrial pacing, or no…

Design

RCT, randomized to 1 of the following 4 groups

Follow-up

postoperative period (pacing performed for 5 days)

Authors

KFKatherine FanSheltering Arms Physical Rehabilitation CentersKLKathy L. LeeChinese University of Hong KongCCClement S.W. ChiuGrantham Hospital

Discussion

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Overview

Biatrial pacing may warrant consideration to prevent post-CABG AF; extends single-site pacing trials by showing superior efficacy.

Structured PICO

Does biatrial overdrive pacing prevent postoperative atrial fibrillation in patients undergoing CABG?

P
Population
132 patients with no history of atrial fibrillation who underwent coronary artery bypass surgery (CABG)
I
Intervention
Biatrial overdrive pacing for 5 days in the postoperative period
C
Comparator
Left atrial pacing, right atrial pacing, or no pacing (control)
O
Outcome
Incidence of postoperative atrial fibrillationhard clinical

Biatrial overdrive pacing is more effective than single-site atrial pacing or no pacing in preventing postoperative atrial fibrillation after CABG and reduces hospital stay.

Cite This Study

Fan et al. (2000) studied this question.

synapsesocial.com/papers/6a7f0f3ead7bbf6c1bd0abe4https://doi.org/10.1161/01.cir.102.7.755

Topics

Atrial fibrillationPersistent AF managementAF ablation outcomesAnticoagulation in AF
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Prevention of Atrial Arrhythmias during DDD Pacing by Atrial Overdrive1998 · 103 citations
  2. 2The use of atenolol in the prevention of supraventricular arrhythmias following coronary artery surgery1988 · 99 citations
  3. 3Chronic atrial fibrillation and stroke in paced patients with sick sinus syndrome. Relevance of clinical characteristics and pacing modalities.1993 · 205 citations
  4. 4Effects of Different Atrial Pacing Modes on Atrial Electrophysiology1997 · 106 citations
  5. 5Re-evaluation of the role of P-wave duration and morphology as predictors of atrial fibrillation and flutter after coronary artery bypass surgery1996 · 51 citations