-
Study aim
-
Comparison of prophylactic and therapeutic effect of amiodarone in heart surgery patients prone to atrial fibrillation
-
Design
-
Clinical trial with control group, parallel groups, randomized, 200 patients, randomization by card
-
Settings and conduct
-
This study will be performed as a clinical trial on cardiac patients who are candidates for elective surgery. The research will be conducted in Farshchian Educational and Medical Center of Hamedan in 1400. In the intervention group, patients received an intravenous infusion of 350 mg amiodarone 24 hours before surgery. In the postoperative control group, amiodarone is injected three minutes before the removal of the aortic clamp, and within 30 minutes to 24 hours after admission to the ICU, patients are cared for and possible cardiac arrhythmias are recorded.
-
Participants/Inclusion and exclusion criteria
-
inclusion criteria:
En Candidate patients for elective cardiac surgery ASA class 2 & 3
Consent to participate in the study
Having a sinus rhythm before surgery
No history of amiodarone allergy
exclusion criteria:
En Recipients of antihypertensive drugs except beta blockers and ACE inhibitors
Patients with thyroid, renal, pulmonary, hepatic disorders
Asthmatics
Rate of less than 50
Heart failure
Atrioventricular block
-
Intervention groups
-
In the intervention group, patients will receive an intravenous infusion of 350 mg amiodarone 24 hours before surgery. In the postoperative amiodarone control group, it is injected three minutes before the aortic clamp is removed, and within 30 minutes to 24 hours after admission to the ICU, patients are cared for and in case of cardiac arrhythmias is recorded. if arrhythmia is observed, the patient will be continuously monitored with EKG.
-
Main outcome variables
-
Atrial fibrillation: supraventricular tachyarrhythmia with uncoordinated atrial activity