Evidence map›Paper›PMID 40708765›Full record

ReviewHeart international2025

Magnesium for Prevention of New-onset Postoperative Atrial Fibrillation Following Cardiac Surgery: A Systematic Review and Meta-analysis of Randomized Controlled Trials.

Sara Ghazizadeh, Alireza Malektojari, Zahra Javidfar, Shaghayegh Lahuti, Rahele Shokraei, Mohadeseh Zeinaee, Amirhosein Badele, Raziyeh Mirzadeh, Mitra Ashrafi, Fateme Afra and 8 more

Abstract readReview
In one paragraph

Review in Heart international, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. 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

18 authors.

Sara GhazizadehEvidence Based Medicine Center, Hormozgan University of Medical Sciences, Bandar Abbas, Iran.
Alireza MalektojariEvidence Based Medicine Center, Hormozgan University of Medical Sciences, Bandar Abbas, Iran.
Zahra JavidfarCardiovascular Research Center, Hormozgan University of Medical Sciences, Bandar Abbas, Iran.
Shaghayegh LahutiFaculty of Medicine, Hormozgan University of Medical Sciences, Bandar Abbas, Iran.
Rahele ShokraeiFaculty of Medicine, Hormozgan University of Medical Sciences, Bandar Abbas, Iran.
Mohadeseh ZeinaeeFaculty of Medicine, Hormozgan University of Medical Sciences, Bandar Abbas, Iran.
Amirhosein BadeleFaculty of Medicine, Hormozgan University of Medical Sciences, Bandar Abbas, Iran.
Raziyeh MirzadehFaculty of Medicine, Hormozgan University of Medical Sciences, Bandar Abbas, Iran.
Mitra AshrafiEvidence Based Medicine Center, Hormozgan University of Medical Sciences, Bandar Abbas, Iran.
Fateme AfraFaculty of Medicine, Hormozgan University of Medical Sciences, Bandar Abbas, Iran.
Mohammad Hamed ErsiEvidence Based Medicine Center, Hormozgan University of Medical Sciences, Bandar Abbas, Iran.
Marziyeh HeydariFaculty of Medicine, Hormozgan University of Medical Sciences, Bandar Abbas, Iran.
Ava ZiaeiFaculty of Medicine, Hormozgan University of Medical Sciences, Bandar Abbas, Iran.
Zohreh RezvaniXi'an Jiaotong University Health Science Center, Xi'an, Shaanxi, China.
Jasmine MahDepartment of Medicine, Dalhousie University, Halifax, Nova Scotia, Canada.
Dena ZeraatkarDepartment of Bioinformatics, Harvard Medical School, Boston, MA, USA.
Shahin AbbaszadehCardiovascular Research Center, Hormozgan University of Medical Sciences, Bandar Abbas, Iran.
Tyler PitreDepartment of Medicine, Division of Respirology, University of Toronto, Toronto, ON, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: This meta-analysis article aimed to investigate the efficacy of magnesium in preventing new-onset postoperative atrial fibrillation (POAF). Methods: We searched Medline, Embase, Web of Science and Cochrane Library without any language or publication date restriction up to August 2023. We included randomized controlled trials (RCTs) that enrolled adults undergoing cardiac surgery without a history of atrial fibrillation, exploring the effect of magnesium supplementation in preventing new-onset POAF. We assessed the risk of bias using the Cochrane Risk of Bias 2.0 (RoB 2.0) tool. We conducted a random-effects meta-analysis using R and assessed the certainty of the evidence. Results: A total of 24 RCTs with 3,373 participants were included. We found that magnesium may reduce the risk of POAF compared to the control group (relative risk [RR]: 0.55; 95% confidence interval [CI]: 0.41, 0.74; low certainty). The subgroup analysis for trials with low/some concerns risk of bias showed that magnesium reduces the risk of new-onset POAF compared to control (RR: 0.70 [95% CI: 0.58, 0.84]; high certainty). Magnesium consumption had no significant effect on all-cause mortality (RR: 1.00 [95% CI: 0.34, 2.90]) or days of hospitalization (mean difference: -0.34 [95% CI: -0.94, 0.26]). Conclusion: The evidence indicates that magnesium administration reduces the incidence of new-onset POAF.

Indexed as

Arrhythmiaatrial fibrillationmagnesiummeta-analysispostoperative atrial fibrillationpostoperative complicationssystematic review

Identifiers

PMID40708765
PMCPMC12285661

What OpenQuestion holds

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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.