Home > Uncategorized > Post Cardiac Surgery Atrial Fibrillation: Rate versus Rhythm

Post Cardiac Surgery Atrial Fibrillation: Rate versus Rhythm

Gillinov  et al report a randomized clinical trial of rate v rhythm control for post operative atrial fibrillation (AF) after cardiac surgery. Amiodarone was used for rhythm control. If AF persisted to 24 to 48 hours electrical cardioversion was recommended. The rate control arm aimed for a heart rate < 100/minute. There was crossover to amiodarone if clinician thought this was indicated.The primary end point was the total number of days of hospitalization within 60 days after randomization. No significant differences were found between the two strategies: primary end-point, adverse events.

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