Objective: Atrial fibrillation is a common complication after cardiac surgery. Magnesium is an effective and safe antiarrhythmic agent for arrhythmias that develop after cardiac surgery. The authors performed a study to evaluate the role of perioperative magnesium for prophylaxis of atrial fibrillation after off-pump coronary artery surgery. Design: Randomized controlled study. Setting: University teaching hospital. Participants: One hundred sixty consecutive patients undergoing elective, isolated, off-pump coronary artery bypass grafting were prospectively randomized into 2 groups. Interventions: Patients in the magnesium group (n = 80) received a 2.5-g (20 mEq) magnesium sulphate infusion intraoperatively over 30 minutes, and the placebo group (n = 80) received normal saline solution. Measurements and main results: Postoperative atrial fibrillation occurred in 16 of 80 patients (20%) in the magnesium group and in 18 of 80 (22.5%) in the placebo group (p = 0.9). Conclusion: The use of 2.5 g of intraoperative magnesium showed no effect in preventing atrial fibrillation after off-pump coronary artery bypass.
|Titolo:||Perioperative magnesium supplementation to prevent atrial fibrillation after off-pump coronary artery surgery : a randomized controlled study|
ALETTI, GIACOMO (Penultimo)
|Parole Chiave:||magnesium, atrial fibrillation, cardiac surgery, off-pump, cardiac anesthesia, arrhythmia|
|Settore Scientifico Disciplinare:||Settore MAT/06 - Probabilita' e Statistica Matematica|
|Data di pubblicazione:||2005|
|Digital Object Identifier (DOI):||10.1053/j.jvca.2005.02.015|
|Appare nelle tipologie:||01 - Articolo su periodico|