Evidence map›Paper›PMID 36003876›Full record

ArticleJTCVS open2020

Meta-analysis of the benefit of beta-blockers for the reduction of isolated atrial fibrillation incidence after cardiac surgery.

Yoshio Masuda, Hai Dong Luo, Giap Swee Kang, Kristine Leok-Kheng Teoh, Theodoros Kofidis

Open access · goldAbstract read
In one paragraph

Article in JTCVS open, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
1.0field-weighted citation impact, top 21% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 22 citations in OpenAlex.

  1. Trial
  2. Autonomic dysregulation and atrial arrhythmias.American journal of physiology. Cell physiology · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 1 country.

Yoshio MasudaYong Loo Lin School of Medicine, National University of Singapore, Singapore.
Hai Dong LuoDepartment of Cardiac, Thoracic & Vascular Surgery, National University Heart Centre Singapore, Singapore.
Giap Swee KangDepartment of Cardiac, Thoracic & Vascular Surgery, National University Heart Centre Singapore, Singapore.
Kristine Leok-Kheng TeohDepartment of Cardiac, Thoracic & Vascular Surgery, National University Heart Centre Singapore, Singapore.
Theodoros KofidisYong Loo Lin School of Medicine, National University of Singapore, Singapore.
National University Heart Centre Singapore · SGNational University of Singapore · SG

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objectives: Postoperative atrial fibrillation (POAF) is a common problem of cardiac surgery. Beta-blockers are recognized as effective prophylactic agents available for POAF management. To better understand its effect on isolated atrial fibrillation after cardiac surgery, a meta-analysis was conducted. Methods: Randomized controlled trials (RCTs) were searched and filtered by comparing the efficacy of beta-blockers and control users in isolated POAF for cardiac surgery. Seventeen RCTs were identified and analyzed by typical meta-analysis methods. The search was performed from inception to May 31, 2020. Subgroup analyses were conducted for type of surgery and beta-blocker, starting time and route of administration of beta-blocker, and dosage of intravenous landiolol hydrochloride. Results: Beta-blockers were effective in reducing isolated POAF risk (risk ratio [RR], 0.52 [0.41, 0.66], Conclusions: Beta-blocker treatment helps to reduce isolated atrial fibrillation incidence after cardiac surgery. Our subgroup analyses also reveal postoperative beta-blocker administration after on-pump coronary artery bypass graft surgery is most effective in reducing isolated POAF risk. Intravenous landiolol hydrochloride at a dosage of 2 μg/kg/min has also displayed favorable results. Further trials may be required to explore these factors.

Indexed as

ACC/AHA, American College of Cardiology/American Heart AssociationAF, atrial fibrillationAFL, atrial flutteratrial fibrillationb-blocker, beta-blockerbeta-blockerbypass graftCABG, coronary artery bypass surgeryCOPD, chronic obstructive pulmonary diseasecoronary diseaseCPG, Clinical Practice GuidelinesIV, intravenousmeta-analysisONCABG, on-pump coronary artery bypass graftingOPCABG, off-pump coronary artery bypass graftingPOAF, postoperative atrial fibrillationRCT, randomized controlled trialRR, risk ratioSVT, supraventricular tachycardia

Identifiers

PMID36003876
PMCPMC9390535
OpenAlexW3042769973

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.