creators_name: Vora, Amit editors_name: Singh, Balbir editors_name: Lokhandwala, Yash editors_name: Francis, Johnson editors_name: Gupta, Anup type: journalp datestamp: 2005-04-13 lastmod: 2011-03-11 08:55:53 metadata_visibility: show title: To Pace Or Not To Pace! – Prevention Of Atrial Fibrillation After Coronary Artery Bypass Surgery ispublished: pub subjects: ipej full_text_status: public keywords: pacing; atrial fibrillation; coronary artery bypass surgery abstract: Atrial fibrillation (AF) is a very undesirable, but unfortunately a common arrhythmia following coronary artery bypass graft (CABG) surgery, occurring in up to 40% of patients. There is an increase in hospital stay and adds to the overall cost of the surgery. Atrial fibrillation occurrence may identify a subset of patients with reduced survival. Prevention of AF therefore would have a significant positive impact on patients undergoing CABG surgery. Based on the mechanism of postoperative AF, it seems likely that overcoming the slow atrial conduction with reduction in the dispersion of atrial refractoriness and suppression of the atrial ectopy should prevent AF. With these considerations atrial overdrive pacing to prevent post CABG AF has been evaluated with a number of randomized, controlled trials. date: 2005-01 date_type: published publication: Indian Pacing and Electrophysiology Journal volume: 5 number: 1 publisher: Indian Pacing and Electrophysiology Group pagerange: 1-4 refereed: TRUE referencetext: 1. Ommen SR, Odell JA, Stanton MS. Atrial arrhythmias after cardiothoracic surgery. N Engl J Med 1997; 336:1429-34. 2. Crystal E, Connolly SJ, Sleik K, Ginger TJ, Yusuf S. Interventions on Prevention of Postoperative Atrial Fibrillation in Patients Undergoing Heart Surgery A Meta-Analysis. Circulation. 2002; 106: 75-80.. 3. Vilareal RP, Hariharan R, Liu BC, Kar B, Lee VV, Elayda M, Lopez JA, Rasekh A, Wilson JM, Massumi A. 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