Administration of Low-Dose Landiolol Prevents Postoperative Atrial Fibrillation After Aortic Valve Replacement

Takeshi Oda; Ryusuke Mori; Eiki Tayama; Shigeaki Aoyagi

doi:doi:10.11648/j.ijcts.20230904.13

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Administration of Low-Dose Landiolol Prevents Postoperative Atrial Fibrillation After Aortic Valve Replacement

Takeshi Oda, Ryusuke Mori, Eiki Tayama, Shigeaki Aoyagi

Published in International Journal of Cardiovascular and Thoracic Surgery (Volume 9, Issue 4)

Received: 25 July 2023 Accepted: 10 August 2023 Published: 22 August 2023

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Abstract

Background: Postoperative atrial fibrillation (POAF), a common complication of cardiac surgery, increases postoperative mortality, morbidity, and medical costs. POAF after coronary artery bypass grafting is well investigated; however, little is known about POAF after aortic valve replacement (AVR). This study aimed to investigate the efficacy of low-dose landiolol in preventing POAF after AVR. Methods: Thirty patients who underwent AVR were randomized into two groups, with or without administration of landiolol (Landiolol, N=15; Control, N=15). In Landiolol, continuous infusion of landiolol (3 µg/kg/min) was maintained for 48 h from admission to the intensive care unit. The occurrence of POAF during seven days after surgery, heart rate, blood pressure, cardiac index, and mixed venous oxygen saturation were compared between the two groups. Results: POAF occurred in one and seven patients in Landiolol (6.7%) and Control (46.7%), respectively, with significantly lower incidence in Landiolol than in Control (p=0.0352). The heart rate was significantly lower in Landiolol than in Control. No significant differences were observed in blood pressure, cardiac indices, and mixed venous hemoglobin oxygen between the two groups. Conclusions: The administration of low-dose landiolol following AVR significantly decreased the incidence of POAF without hemodynamic deterioration, suggesting that it may safely and effectively prevent POAF in patients undergoing AVR.

Published in	International Journal of Cardiovascular and Thoracic Surgery (Volume 9, Issue 4)
DOI	10.11648/j.ijcts.20230904.13
Page(s)	56-62
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2023. Published by Science Publishing Group

Keywords

Landiolol, POAF, AVR

References

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APA Style

Takeshi Oda, Ryusuke Mori, Eiki Tayama, Shigeaki Aoyagi. (2023). Administration of Low-Dose Landiolol Prevents Postoperative Atrial Fibrillation After Aortic Valve Replacement. International Journal of Cardiovascular and Thoracic Surgery, 9(4), 56-62. https://doi.org/10.11648/j.ijcts.20230904.13

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ACS Style

Takeshi Oda; Ryusuke Mori; Eiki Tayama; Shigeaki Aoyagi. Administration of Low-Dose Landiolol Prevents Postoperative Atrial Fibrillation After Aortic Valve Replacement. Int. J. Cardiovasc. Thorac. Surg. 2023, 9(4), 56-62. doi: 10.11648/j.ijcts.20230904.13

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AMA Style

Takeshi Oda, Ryusuke Mori, Eiki Tayama, Shigeaki Aoyagi. Administration of Low-Dose Landiolol Prevents Postoperative Atrial Fibrillation After Aortic Valve Replacement. Int J Cardiovasc Thorac Surg. 2023;9(4):56-62. doi: 10.11648/j.ijcts.20230904.13

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@article{10.11648/j.ijcts.20230904.13,
  author = {Takeshi Oda and Ryusuke Mori and Eiki Tayama and Shigeaki Aoyagi},
  title = {Administration of Low-Dose Landiolol Prevents Postoperative Atrial Fibrillation After Aortic Valve Replacement},
  journal = {International Journal of Cardiovascular and Thoracic Surgery},
  volume = {9},
  number = {4},
  pages = {56-62},
  doi = {10.11648/j.ijcts.20230904.13},
  url = {https://doi.org/10.11648/j.ijcts.20230904.13},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijcts.20230904.13},
  abstract = {Background: Postoperative atrial fibrillation (POAF), a common complication of cardiac surgery, increases postoperative mortality, morbidity, and medical costs. POAF after coronary artery bypass grafting is well investigated; however, little is known about POAF after aortic valve replacement (AVR). This study aimed to investigate the efficacy of low-dose landiolol in preventing POAF after AVR. Methods: Thirty patients who underwent AVR were randomized into two groups, with or without administration of landiolol (Landiolol, N=15; Control, N=15). In Landiolol, continuous infusion of landiolol (3 µg/kg/min) was maintained for 48 h from admission to the intensive care unit. The occurrence of POAF during seven days after surgery, heart rate, blood pressure, cardiac index, and mixed venous oxygen saturation were compared between the two groups. Results: POAF occurred in one and seven patients in Landiolol (6.7%) and Control (46.7%), respectively, with significantly lower incidence in Landiolol than in Control (p=0.0352). The heart rate was significantly lower in Landiolol than in Control. No significant differences were observed in blood pressure, cardiac indices, and mixed venous hemoglobin oxygen between the two groups. Conclusions: The administration of low-dose landiolol following AVR significantly decreased the incidence of POAF without hemodynamic deterioration, suggesting that it may safely and effectively prevent POAF in patients undergoing AVR.},
 year = {2023}
}

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TY  - JOUR
T1  - Administration of Low-Dose Landiolol Prevents Postoperative Atrial Fibrillation After Aortic Valve Replacement
AU  - Takeshi Oda
AU  - Ryusuke Mori
AU  - Eiki Tayama
AU  - Shigeaki Aoyagi
Y1  - 2023/08/22
PY  - 2023
N1  - https://doi.org/10.11648/j.ijcts.20230904.13
DO  - 10.11648/j.ijcts.20230904.13
T2  - International Journal of Cardiovascular and Thoracic Surgery
JF  - International Journal of Cardiovascular and Thoracic Surgery
JO  - International Journal of Cardiovascular and Thoracic Surgery
SP  - 56
EP  - 62
PB  - Science Publishing Group
SN  - 2575-4882
UR  - https://doi.org/10.11648/j.ijcts.20230904.13
AB  - Background: Postoperative atrial fibrillation (POAF), a common complication of cardiac surgery, increases postoperative mortality, morbidity, and medical costs. POAF after coronary artery bypass grafting is well investigated; however, little is known about POAF after aortic valve replacement (AVR). This study aimed to investigate the efficacy of low-dose landiolol in preventing POAF after AVR. Methods: Thirty patients who underwent AVR were randomized into two groups, with or without administration of landiolol (Landiolol, N=15; Control, N=15). In Landiolol, continuous infusion of landiolol (3 µg/kg/min) was maintained for 48 h from admission to the intensive care unit. The occurrence of POAF during seven days after surgery, heart rate, blood pressure, cardiac index, and mixed venous oxygen saturation were compared between the two groups. Results: POAF occurred in one and seven patients in Landiolol (6.7%) and Control (46.7%), respectively, with significantly lower incidence in Landiolol than in Control (p=0.0352). The heart rate was significantly lower in Landiolol than in Control. No significant differences were observed in blood pressure, cardiac indices, and mixed venous hemoglobin oxygen between the two groups. Conclusions: The administration of low-dose landiolol following AVR significantly decreased the incidence of POAF without hemodynamic deterioration, suggesting that it may safely and effectively prevent POAF in patients undergoing AVR.
VL  - 9
IS  - 4
ER  -

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Author Information

Takeshi Oda

Department of Surgery, Kurume University School of Medicine, Kurume City, Fukuoka, Japan
Ryusuke Mori

Department of Surgery, Kurume University School of Medicine, Kurume City, Fukuoka, Japan
Eiki Tayama

Department of Surgery, Kurume University School of Medicine, Kurume City, Fukuoka, Japan
Shigeaki Aoyagi

Department of Surgery, Kurume University School of Medicine, Kurume City, Fukuoka, Japan

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APA Style

Takeshi Oda, Ryusuke Mori, Eiki Tayama, Shigeaki Aoyagi. (2023). Administration of Low-Dose Landiolol Prevents Postoperative Atrial Fibrillation After Aortic Valve Replacement. International Journal of Cardiovascular and Thoracic Surgery, 9(4), 56-62. https://doi.org/10.11648/j.ijcts.20230904.13

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ACS Style

Takeshi Oda; Ryusuke Mori; Eiki Tayama; Shigeaki Aoyagi. Administration of Low-Dose Landiolol Prevents Postoperative Atrial Fibrillation After Aortic Valve Replacement. Int. J. Cardiovasc. Thorac. Surg. 2023, 9(4), 56-62. doi: 10.11648/j.ijcts.20230904.13

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AMA Style

Takeshi Oda, Ryusuke Mori, Eiki Tayama, Shigeaki Aoyagi. Administration of Low-Dose Landiolol Prevents Postoperative Atrial Fibrillation After Aortic Valve Replacement. Int J Cardiovasc Thorac Surg. 2023;9(4):56-62. doi: 10.11648/j.ijcts.20230904.13

Copy | Download

@article{10.11648/j.ijcts.20230904.13,
  author = {Takeshi Oda and Ryusuke Mori and Eiki Tayama and Shigeaki Aoyagi},
  title = {Administration of Low-Dose Landiolol Prevents Postoperative Atrial Fibrillation After Aortic Valve Replacement},
  journal = {International Journal of Cardiovascular and Thoracic Surgery},
  volume = {9},
  number = {4},
  pages = {56-62},
  doi = {10.11648/j.ijcts.20230904.13},
  url = {https://doi.org/10.11648/j.ijcts.20230904.13},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijcts.20230904.13},
  abstract = {Background: Postoperative atrial fibrillation (POAF), a common complication of cardiac surgery, increases postoperative mortality, morbidity, and medical costs. POAF after coronary artery bypass grafting is well investigated; however, little is known about POAF after aortic valve replacement (AVR). This study aimed to investigate the efficacy of low-dose landiolol in preventing POAF after AVR. Methods: Thirty patients who underwent AVR were randomized into two groups, with or without administration of landiolol (Landiolol, N=15; Control, N=15). In Landiolol, continuous infusion of landiolol (3 µg/kg/min) was maintained for 48 h from admission to the intensive care unit. The occurrence of POAF during seven days after surgery, heart rate, blood pressure, cardiac index, and mixed venous oxygen saturation were compared between the two groups. Results: POAF occurred in one and seven patients in Landiolol (6.7%) and Control (46.7%), respectively, with significantly lower incidence in Landiolol than in Control (p=0.0352). The heart rate was significantly lower in Landiolol than in Control. No significant differences were observed in blood pressure, cardiac indices, and mixed venous hemoglobin oxygen between the two groups. Conclusions: The administration of low-dose landiolol following AVR significantly decreased the incidence of POAF without hemodynamic deterioration, suggesting that it may safely and effectively prevent POAF in patients undergoing AVR.},
 year = {2023}
}

Copy | Download

TY  - JOUR
T1  - Administration of Low-Dose Landiolol Prevents Postoperative Atrial Fibrillation After Aortic Valve Replacement
AU  - Takeshi Oda
AU  - Ryusuke Mori
AU  - Eiki Tayama
AU  - Shigeaki Aoyagi
Y1  - 2023/08/22
PY  - 2023
N1  - https://doi.org/10.11648/j.ijcts.20230904.13
DO  - 10.11648/j.ijcts.20230904.13
T2  - International Journal of Cardiovascular and Thoracic Surgery
JF  - International Journal of Cardiovascular and Thoracic Surgery
JO  - International Journal of Cardiovascular and Thoracic Surgery
SP  - 56
EP  - 62
PB  - Science Publishing Group
SN  - 2575-4882
UR  - https://doi.org/10.11648/j.ijcts.20230904.13
AB  - Background: Postoperative atrial fibrillation (POAF), a common complication of cardiac surgery, increases postoperative mortality, morbidity, and medical costs. POAF after coronary artery bypass grafting is well investigated; however, little is known about POAF after aortic valve replacement (AVR). This study aimed to investigate the efficacy of low-dose landiolol in preventing POAF after AVR. Methods: Thirty patients who underwent AVR were randomized into two groups, with or without administration of landiolol (Landiolol, N=15; Control, N=15). In Landiolol, continuous infusion of landiolol (3 µg/kg/min) was maintained for 48 h from admission to the intensive care unit. The occurrence of POAF during seven days after surgery, heart rate, blood pressure, cardiac index, and mixed venous oxygen saturation were compared between the two groups. Results: POAF occurred in one and seven patients in Landiolol (6.7%) and Control (46.7%), respectively, with significantly lower incidence in Landiolol than in Control (p=0.0352). The heart rate was significantly lower in Landiolol than in Control. No significant differences were observed in blood pressure, cardiac indices, and mixed venous hemoglobin oxygen between the two groups. Conclusions: The administration of low-dose landiolol following AVR significantly decreased the incidence of POAF without hemodynamic deterioration, suggesting that it may safely and effectively prevent POAF in patients undergoing AVR.
VL  - 9
IS  - 4
ER  -

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