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JAMA Cardiology Clinical Evidence Synopsis
February 8, 2017

Concomitant Atrial Fibrillation Surgery for People Undergoing Cardiac Surgery

Author Affiliations
  • 1Department of Preventive Medicine, Northwestern University Feinberg School of Medicine, Chicago, Illinois
  • 2Division of Cardiology, Department of Medicine, Northwestern University Feinberg School of Medicine, Chicago, Illinois
  • 3Bluhm Cardiovascular Institute, Northwestern Medicine, Chicago, Illinois
  • 4Associate Editor, JAMA Cardiology
  • 5Division of Cardiac Surgery, Department of Surgery, Northwestern University Feinberg School of Medicine, Chicago, Illinois
JAMA Cardiol. Published online February 8, 2017. doi:10.1001/jamacardio.2016.5404
Abstract

Clinical Question  Should patients with preoperative atrial fibrillation who are undergoing cardiac surgery undergo concomitant atrial fibrillation surgery?

Bottom Line  There is moderate-quality evidence that concomitant atrial fibrillation surgery approximately doubles the likelihood of freedom from atrial fibrillation, atrial flutter, or atrial tachycardia while not receiving antiarrhythmic medications at least 3 months after the procedure with a small absolute increase in needing a permanent pacemaker.

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