Rate Control versus Rhythm Control for Atrial Fibrillation after Cardiac Surgery
Why the study?
Does a rhythm control strategy reduce total days of hospitalization compared to a rate control strategy in patients with new-onset postoperative atrial fibrillation?
Population
523 patients with new-onset postoperative atrial fibrillation after cardiac surgery who are in stable…
Comparison
Rhythm control strategy (including amiodarone) vs Rate control strategy
Design
RCT, randomly assigned
Follow-up
60 days
Authors
Discussion
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Member takes
Implication
Either strategy acceptable for stable postoperative AF; confirms no short-term hospitalization benefit from rhythm control.
Structured PICO
Does a rhythm control strategy reduce total days of hospitalization compared to a rate control strategy in patients with new-onset postoperative atrial fibrillation?
P
Population
523 patients with new-onset postoperative atrial fibrillation after cardiac surgery who are in stable condition
I
Intervention
Rhythm control strategy (including amiodarone)
C
Comparator
Rate control strategy
O
Outcome
Total number of days of hospitalization within 60 days after randomization
In patients with stable postoperative atrial fibrillation, rate control and rhythm control strategies result in similar hospital lengths of stay, complication rates, and freedom from atrial fibrillation at 60 days.
Cite This Study
Gillinov et al. (2016) studied this question.