Evidence map›Paper›PMID 42406328›Full record

ArticleGeneral thoracic and cardiovascular surgery2026

Intraoperative landiolol hydrochloride use for prevention of postoperative atrial fibrillation with off-pump coronary artery bypass graft surgery (ILUPAF-OPCAB) study.

Satoshi Teranishi, Asako Matsushima, Koh Kajiyama, Shunsuke Sakamoto, Hisato Ito, Yasuhiro Sawada, Shinji Kanemitsu, Kazuya Fujinaga, Yu Shomura, Toru Mizumoto

Abstract read
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Article in General thoracic and cardiovascular surgery, 2026. 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

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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. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors.

Satoshi TeranishiDepartment of Emergency Medicine, Emergency and Critical Care Center, Anjo Kosei Hospital, Higashihirokute 28, Anjo-cho, Anjo, Aichi, 446-8602, Japan. satoshi.2710@gmail.com.ORCID http://orcid.org/0000-0002-7156-9398
Asako MatsushimaDepartment of Emergency and Critical Care, Nagoya City University Graduate School of Medical Sciences, 1 Kawasumi, Mizuho-cho, Mizuho-ku, Aichi, 467-8601, Nagoya, Japan.
Koh KajiyamaDepartment of Cardiothoracic Surgery, Anjo Kosei Hospital, Higashihirokute 28, Anjo-cho, Aichi, 446-8602, Anjo, Japan.
Shunsuke SakamotoDepartment of Cardiothoracic Surgery, Anjo Kosei Hospital, Higashihirokute 28, Anjo-cho, Aichi, 446-8602, Anjo, Japan.
Hisato ItoDepartment of Thoracic and Cardiovascular Surgery, Mie University School of Medicine, 2-174 Edobashi, Mie, 514-8507, Tsu, Japan.
Yasuhiro SawadaSawada Internal Medicine and Surgical Clinic, 18-9 Nakagawa, Mie, 519-3639, Owase, Japan.
Shinji KanemitsuDepartment of Cardiothoracic Surgery, Anjo Kosei Hospital, Higashihirokute 28, Anjo-cho, Aichi, 446-8602, Anjo, Japan.
Kazuya FujinagaDepartment of Cardiothoracic Surgery, Anjo Kosei Hospital, Higashihirokute 28, Anjo-cho, Aichi, 446-8602, Anjo, Japan.
Yu ShomuraDepartment of Thoracic and Cardiovascular Surgery, Matsusaka Chuo General Hospital, 102 Komon, Kawai-cho, Mie, 515-8566, Matsusaka, Japan.
Toru MizumotoDepartment of Cardiothoracic Surgery, Anjo Kosei Hospital, Higashihirokute 28, Anjo-cho, Aichi, 446-8602, Anjo, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivePostoperative atrial fibrillation (POAF) remains a common complication after off-pump coronary artery bypass grafting (OPCAB). We evaluated the preventive effect of short-term perioperative landiolol hydrochloride administration on POAF after OPCAB.

methodsThis single-center retrospective observational study included patients who underwent elective isolated OPCAB between February 2013 and August 2018. Patients with a history of atrial fibrillation, emergency surgery, or conversion to cardiopulmonary bypass were excluded. Landiolol hydrochloride was continuously administered from the beginning of surgery until postoperative day 1. The primary endpoint was POAF occurrence. Secondary endpoints included hospital stay, perioperative complications, and healthcare insurance reimbursement points. Propensity score matching was performed to adjust baseline differences.

resultsAmong eligible patients, 74 were assigned to the control group and 159 to the landiolol group. Propensity score matching generated 68 matched pairs. POAF incidence was significantly lower in the landiolol group in both the unadjusted cohort (15.7% vs. 31.1%, p = 0.01) and propensity score matched cohort (14.7% vs. 32.4%, p = 0.02). No significant differences were observed in hospital stay or major clinical outcomes, including 30-day mortality, stroke, and prolonged intubation. However, medical insurance points were significantly lower in the matched intervention group (258,460 vs. 267,904 points, p = 0.047).

conclusionsShort-term perioperative administration of landiolol hydrochloride was associated with a lower incidence of POAF after OPCAB without an increase in perioperative complications. While further prospective randomized studies are needed, this simplified protocol may offer a safe, feasible, and potentially cost-favorable strategy for POAF prevention after cardiac surgery.

Indexed as

Beta-blockerCardiac surgeryLandiolol hydrochlorideOff-pump coronary artery bypassPostoperative atrial fibrillationPropensity score matching

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Registered trials

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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.