Cardiothoracic & vascular anesthesia

Preemptive Pharmacogenetic-Guided Metoprolol Management for Postoperative Atrial Fibrillation in Cardiac Surgery: The Preemptive Pharmacogenetic-Guided Metoprolol Management for Atrial Fibrillation in Cardiac Surgery Pilot Trial

J Cardiothorac Vasc AnesthPublished Pilot clinical trial

Authors' conclusion

A CYP2D6 genotype-guided metoprolol management was not associated with a reduction of postoperative AF after cardiac surgery.

Study context

Population
Cardiac surgery patients, single academic center
Participants
73 patients
Comparison
Normal metabolizers vs Poor/intermediate metabolizers
  • Normal metabolizersn = 65reference
  • Poor/intermediate metabolizersn = 8
Outcome
Postoperative AF in altered metabolizers vs historical reference
Methodological detailssingle-centre, historical reference comparison, Bayesian analysis
  • Single-centre
  • Historical reference comparison
  • Bayesian analysis

Main finding

As reported in the abstract

Further findings

Postoperative atrial fibrillation (AF), whole cohort

Postoperative AF among the 73 patients (n = 22)
30%

Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.

Original publication

Preemptive Pharmacogenetic-Guided Metoprolol Management for Postoperative Atrial Fibrillation in Cardiac Surgery: The Preemptive Pharmacogenetic-Guided Metoprolol Management for Atrial Fibrillation in Cardiac Surgery Pilot Trial. J Cardiothorac Vasc Anesth. Published 14 June 2023. doi:10.1053/j.jvca.2023.06.017

Composed by AI from the published abstract and checked against it. How Briefs are made →

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