Key result
Temporary epicardial atrial pacing, specifically overdrive biatrial pacing (OR 2.6; 95% CI 1.4-4.8), significantly reduced the risk of new-onset atrial fibrillation after open heart surgery.
Why the study?
Does temporary epicardial atrial pacing prevent postoperative atrial fibrillation in patients undergoing open heart surgery?
Population
8 trials pooling 776 patients undergoing open heart surgery
Comparison
Temporary epicardial atrial pacing vs Control patients
Design
Meta-analysis
Authors
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Supports perioperative use of overdrive biatrial pacing to curb postoperative AF; confirms benefit across pooled trials.
Meta-Analysis (n=776)
Does temporary epicardial atrial pacing prevent postoperative atrial fibrillation in patients undergoing open heart surgery?
Odds Ratio: 2.6 (95% CI 1.4–4.8)
Temporary epicardial atrial pacing, particularly biatrial overdrive and fixed high-rate pacing, significantly reduces the risk of new-onset atrial fibrillation after open heart surgery.
Daoud et al. (2003) conducted a meta-analysis in Postoperative atrial fibrillation (n=776). Temporary epicardial atrial pacing vs. Control was evaluated on Postoperative atrial fibrillation (OR 2.6, 95% CI 1.4-4.8). Temporary epicardial atrial pacing, specifically overdrive biatrial pacing (OR 2.6; 95% CI 1.4-4.8), significantly reduced the risk of new-onset atrial fibrillation after open heart surgery.
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