Prophylactic Amidarone Treatment for Atrial Fibrillation After Coronary Artery Bypass Surgery

被引:1
|
作者
Thanavaro, Joanne [1 ,2 ]
Taylor, John [2 ]
Guignon, Mary S. [3 ]
Vitt, Linda [4 ]
机构
[1] St Louis Univ, Grad Nursing Educ, Sch Nursing, St Louis, MO 63103 USA
[2] St Louis Univ, Sch Nursing, St Louis, MO 63103 USA
[3] SSM Hlth St Louis, Core Measures & Clin Outcomes, St Louis, MO USA
[4] SSM Hlth St Louis, Network Clin Outcomes, St Louis, MO USA
来源
关键词
beta-blockers; coronary artery bypass surgery; postoperative atrial fibrillation; prophylactic amiodarone; CARDIAC-SURGERY; ORAL AMIODARONE; PREVENTION; SOCIETY;
D O I
10.1016/j.nurpra.2017.03.017
中图分类号
R47 [护理学];
学科分类号
1011 ;
摘要
In this study we performed a retrospective chart review to evaluate the efficacy of short-term postoperative oral amiodarone therapy on postoperative atrial fibrillation (POAF) after coronary artery bypass surgery. The incidence of POAF in 372 patients (60.6%) without prophylactic amiodarone therapy was compared with that in 240 patients (39.4%) receiving the medication immediately after the surgery. Patients who received prophylactic amiodarone developed significantly less POAF than those without prophylactic treatment (17.0% versus 25.9%, P = .01), with relative and absolute risk reductions of 0.7% and 8.9%, respectively. Postoperative oral amiodarone therapy is simple to administer and may be a valuable adjunct therapy for patients after coronary artery bypass surgery.
引用
收藏
页码:433 / 440
页数:8
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