Cardiothoracic & vascular anesthesia

Landiolol for the prevention of postoperative atrial fibrillation after cardiac surgery: a GRADE-assessed systematic review and meta-analysis of randomized controlled trials

Anaesth Crit Care Pain MedPublished Systematic review and meta-analysis of randomised trials

Pooled result · Incidence of POAFResult — go to the resultOdds ratio 0.35 95% CI 0.23–0.53

Authors' conclusion

Landiolol appears to be an effective agent for the prevention of POAF in patients undergoing cardiac surgeries.

Study context

Population
Patients undergoing cardiac surgery
Participants
1,264 patients · 11 randomized clinical trials (RCTs)
Comparison
Landiolol vs control
Outcome
Incidence of postoperative AF (postoperative atrial fibrillation (POAF))
Methodological detailsGRADE-assessed
  • GRADE-assessed

Pooled result

Incidence of POAF

Odds ratio

0.35

95% CI 0.23–0.53

P < 0.01

Landiolol vs Control
OR 0.35 (95% CI 0.23–0.53); P < 0.01

As reported in the abstract

Further pooled results

Hospital mortality, hospital LOS, HF, major complications

No significant differences between landiolol and control

Original publication

Landiolol for the prevention of postoperative atrial fibrillation after cardiac surgery: a GRADE-assessed systematic review and meta-analysis of randomized controlled trials. Anaesth Crit Care Pain Med. Published 30 March 2026. doi:10.1016/j.accpm.2026.101842

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