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Original Articles: Cardiovascular

Invited commentary

Cardiothoracic Surgery, Alfred Hospital, 660 Orrong Rd Toorak, Melbourne VI 3142, Australia

(Email: apick@optusnet.com.au).

The first 20% of the full text of this article appears below.

Atrial fibrillation remains the most common complication after cardiac surgery. Despite this, very few centers commit resources to prophylaxis. Several well-constructed, randomized control trials have demonstrated efficacy for the use of oral amiodarone administered prior to planned elective surgery. It is also well established that beta blockers administered preoperatively must be reinstated early in the postoperative period to prevent increased sympathomimetic activity, which is a clear precursor to atrial fibrillation development.

Unfortunately, the literature is . . . [Full Text of this Article]

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