Evidence map›Paper›PMID 40689285›Full record

Observational studyMedical archives (Sarajevo, Bosnia and Herzegovina)2025

The Role of Amiodarone in the Prevention of Postoperative Atrial Fibrillation After Surgical Myocardial Revascularization.

Azra Avdic Salihovic, Emir Mujanovic, Enes Osmanovic, Suad Keranovic, Elmir Jahic, Samed Djedovic, Denis Mrsic, Merima Ibisevic, Nela Rajkovic

Abstract readObservational Study
In one paragraph

Observational study in Medical archives (Sarajevo, Bosnia and Herzegovina), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. Review
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

9 authors.

Azra Avdic SalihovicMedical Institute Bayer, Tuzla, Bosnia and Herzegovina.
Emir MujanovicMedical Institute Bayer, Tuzla, Bosnia and Herzegovina.
Enes OsmanovicMedical Institute Bayer, Tuzla, Bosnia and Herzegovina.
Suad KeranovicMedical Institute Bayer, Tuzla, Bosnia and Herzegovina.
Elmir JahicMedical Institute Bayer, Tuzla, Bosnia and Herzegovina.
Samed DjedovicMedical Institute Bayer, Tuzla, Bosnia and Herzegovina.
Denis MrsicUniversity Clinical Center Tuzla, Bosnia and Herzegovina.
Merima IbisevicFaculty of Pharmacy, University of Tuzla, Bosnia and Herzegovina.
Nela RajkovicMedical Institute Bayer, Tuzla, Bosnia and Herzegovina.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Postoperative atrial fibrillation (POAF) is the most common complication after cardiac surgery, increasing morbidity, ICU stay, dialysis need, hospitalization length, and costs. Despite prophylactic strategies, POAF incidence remains high, especially in moderate and high risk patients. Objective: To assess the effect of amiodarone on POAF incidence and onset timing in moderate and high risk patients. Methods: This prospective observational study included 454 patients undergoing elective coronary artery bypass grafting (CABG). Risk stratification of patients was based on the McSPI AFRisk Index, compared with the POAF Score and CHA2DS2-VASc Score. Moderate and high risk patients received amiodarone in combination with beta blockers (Amiodarone group), while low risk patients received beta blockers only. The primary outcome was POAF incidence, analyzed via Kaplan-Meier and Cox regression. Secondary analysis compared POAF rates between groups using the χ2 test. Results: POAF occurred in 5.95% of the Amiodarone group versus 9.25% in the beta blocker group (overall incidence: 15.2%). The relative risk reduction was 27% (RR = 0.27, 95% CI = 0.105-0.689, p = 0.006). POAF incidence was significantly lower in the Amiodarone group (p = 0.008, χ2 test). Kaplan-Meier analysis showed delayed POAF onset in the Amiodarone group (median: 48h vs. 33h, p = 0.0007). Cox regression confirmed a 73% lower risk of early POAF (HR = 0.27, 95% CI = 0.105-0.689, p = 0.006). Conclusion: Amiodarone combined with beta blockers reduces POAF incidence and delays its onset after CABG. Keywords: POAF, CABG, amiodarone, risk stratification. Keywords: Body Dysmorphia, PCOS patients, prevalence.

Indexed as

AmiodaroneAnti-Arrhythmia AgentsAtrial FibrillationCoronary Artery BypassMyocardial RevascularizationPostoperative ComplicationsAdrenergic beta-AntagonistsAgedFemaleHumansIncidenceMaleMiddle AgedProspective StudiesRisk AssessmentAdrenergic beta-AntagonistsAmiodaroneAnti-Arrhythmia AgentsAmiodaronePostoperative Atrial Fibrillation

Identifiers

PMID40689285
PMCPMC12269756

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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.