Pacing and clinical electrophysiology : PACE
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Pacing Clin Electrophysiol · Jun 2014
Meta AnalysisLandiolol hydrochloride for prevention of atrial fibrillation after cardiac surgery: a meta-analysis.
Atrial fibrillation (AF) is the most common arrhythmic complication after cardiac surgery. Several studies have compared the efficacy of landiolol and placebo or other agents in preventing new-onset AF in patients after cardiac surgery. In this study, we conducted a meta-analysis to determine whether landiolol is effective in preventing new-onset AF after cardiac surgery. ⋯ Landiolol administration in the perioperative period can reduce the occurrence of AF after cardiac surgery without increasing the risk of major complications. It can be used to prevent new-onset AF safely after cardiac surgery.
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Pacing Clin Electrophysiol · Jun 2014
Comparative StudySurvival in octogenarians undergoing cardiac resynchronization therapy compared to the general population.
Many patients eligible for cardiac resynchronization therapy (CRT) are over 80 years of age. Survival in this population and how it compares to the general octogenarian population has not been established. ⋯ Octogenarians with advanced heart failure have a reasonable mean survival time following CRT. All-cause mortality in this patient population is only modestly worse compared to the general octogenarian population. Therefore, in octogenarians deemed to be reasonable candidates, CRT should not be withheld based on age alone.