Research Article

The Effects of Propafenone on Postoperative Atrial Fibrillation in Adult Patients Undergoing Cardiac Surgery: A Meta-Analysis of Randomized Controlled Trials

Table 1

Characteristics of included trials.

TrialsSample sizeEffectsMale/femaleProtocols (postoperative)Outcomes
PGCGPGCG

Mörike et al. (1) [15]82Prevent33/437/81 mg/kg iv, 1 hourSaline (n = 45)①②③
4 mg/kg, iv, 24 hour
450 mg, po, 6 days (n = 37)

Mörike et al. (2) [15]150Prevent60/1563/121 mg/kg, iv, 1 hour (n = 75)Saline (n = 75)④⑧

Kowey et al. [16]293Prevent① 86/13;80/17① 450 mg/d, po (n = 99)Saline (n = 97)①⑧⑩
② 76/21② 675 mg/d, po (n = 97)

Merrick et al. [17]207Prevent83/2287/15300 mg, bid, po, 7 days (n = 105)Atenolol, 50 mg, po, qd (n = 102)①②④⑦

Nemati and Astaneh [18]122TreatmentNMNM600 mg, po, 2 hoursAmiodarone, 150 mg, iv, 1 hour;⑤⑦⑨
150 mg, po, q8h, 24 hours600 mg, iv, 24 hours;
150 mg, po, 10 days after AF (n = 67)150 mg, iv, 10 days after AF (n = 55)

Soucier et al. [19]42Treatment16/4① 8/2;600 mg, po (n = 20)① ibutilide, 1-2 mg, iv (n = 10);④⑤⑧⑩
② 9/3② control (n = 12)

Geelen et al. [20]62Treatment8/2112/212 mg/kg 10 min (n = 29)Procainamide, 20 mg/kg, iv (n = 33)⑤⑥⑧

Larbuisson et al. [21]40Treatment17/120/21-2 mg/kg, iv, 10 minAmiodarone, 2.5–5 mg/kg, iv, 10 min;④⑤⑧
420 mg, iv, 24 hours (n = 18)900 mg, 24 hours (n = 22)

Di Biasi et al. [12]84Treatment32/636/102 mg/kg, iv, 15 minAmiodarone, 5 mg/kg, iv, 15 min;⑤⑥⑧
10 mg/kg, iv, 24 hours (n = 38)15 mg/kg, iv, 24 hours (n = 46)

Connolly et al. [22]14Treatment14/010/02 mg/kg, iv (n = 14)Saline (n = 10)⑤⑥

AF: atrial fibrillation, PG: propafenone group, CG: control group, iv: intravenous injection, NM: not mentioned, and po: peros. Reported outcomes: ①: atrial fibrillation and atrial flutter; ②: supraventricular tachyarrhythmias (SVT); ③: atrial tachycardia; ④: adverse events; ⑤: the success rate of atrial fibrillation treatment; ⑥: percentage decrease in heart rate; ⑦: mortality; ⑧: postoperative adverse effects; ⑨: electrical cardioversion; ⑩: length of stay: ICU stay days and hospital stay.