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Supraventricular tachyarrhythmias after coronary bypass surgery--a double blind randomized trial of prophylactic low
H J Martinussen1, A Lolk, C Szczepanski
1Department of Thoracic and Cardiovascular Surgery, Odense University Hospital, Denmark.
Abstract:
In the present study 75 patients were double blind randomized either to receive 10 mg propranolol orally 4 times a day (35 patients) or a placebo (40 patients). Episodes of clinically important supraventricular tachyarrhythmias were recorded in the first 4 postoperative days. They appeared in 5 of 35 patients receiving propranolol and in 5 of 40 patients receiving placebo (no statistically significant difference). In conclusion this study indicates the need for further evaluation to clarify if low-dose propranolol or any other drug is effective in reducing the frequency of SVT in the early postoperative period after coronary artery bypass surgery.