Key result
Add-on arrhythmia surgery during cardiac surgery resulted in similar improvements in health-related quality of life, with no significant difference in freedom from AF at 12 months (P=0.28).
Why the study?
Does add-on arrhythmia surgery improve health-related quality of life in patients with atrial fibrillation undergoing valvular and/or coronary bypass surgery?
Population
150 patients with documented paroxysmal, permanent or persistent atrial fibrillation undergoing valvular…
Comparison
Add-on arrhythmia surgery during cardiac surgery vs Cardiac surgery without add-on arrhythmia surgery
Design
RCT, randomly assigned
Follow-up
1 year
Authors
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No QoL or AF-freedom benefit from add-on arrhythmia surgery; challenges routine addition during valvular or bypass procedures.
RCT (n=150)
randomly assigned
Yes
Does add-on arrhythmia surgery improve health-related quality of life in patients with atrial fibrillation undergoing valvular and/or coronary bypass surgery?
Add-on arrhythmia surgery during cardiac surgery does not significantly improve overall health-related quality of life or freedom from AF at 1 year compared to cardiac surgery alone, though it may reduce pain/discomfort.
Breugel et al. (2009) conducted an RCT in atrial fibrillation (n=150). add-on arrhythmia surgery vs. cardiac surgery without add-on surgery was evaluated on health-related quality of life. Add-on arrhythmia surgery during cardiac surgery resulted in similar improvements in health-related quality of life, with no significant difference in freedom from AF at 12 months (P=0.28).
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