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. 2019 Sep 23;2019(9):CD013435. doi: 10.1002/14651858.CD013435

Hammon 1984.

Methods RCT, parallel design
Participants Total number of randomized participants: 50
Inclusion criteria: scheduled for CABG, with stable angina pectoris
Exclusion criteria: congestive heart failure, history of bronchospasm, previous sensitivity to propranolol
Type of surgery: elective CABG
Baseline characteristics not reported
Country: USA
Setting: single centre; hospital
Interventions Intervention group (propranolol)
  • Randomized, n = 24; losses = 0; analysed, n = 24 (use of ITT analysis not reported)

  • Details: weaned from any previous propranolol use during 24‐48 h. Then on arrival at the ICU, 60 mg propranolol every 6 h via nasogastric tube until participant could take drug orally. Continued for 1 month


Control group (placebo)
  • Randomized, n = 26; losses = 0; analysed, n = 26

  • Details: placebo agent, given same as intervention group

Outcomes Outcomes measured/reported by study authors: haemodynamic parameters, atrial and ventricular arrhythmias, death, MI, bradycardia (HR < 60 bpm)
Outcomes relevant to the review: ventricular arrhythmias, death, MI, bradycardia
Notes Funding/declarations of interest: study drug provided by pharmaceutical company (Ayerst Laboratories)
Study dates: not reported
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Low risk Random number table
Allocation concealment (selection bias) Unclear risk Not specified
Blinding of participants and personnel (performance bias) 
 All outcomes Low risk Randomized, placebo‐controlled, double‐blind trial
Blinding of outcome assessors (detection bias) 
 All outcomes Unclear risk Not specified
Incomplete outcome data (attrition bias) 
 All outcomes Low risk No apparent losses
Selective reporting (reporting bias) Unclear risk Study authors did not report prospective clinical trial registration or publication of a protocol. It was not feasible to effectively assess risk of reporting bias
Other bias High risk Study authors do not report baseline characteristics and we could not be certain whether these characteristics were balanced between groups. In addition, we noted that antiarrhythmic therapy, which included propranolol, was given to 11 participants in the control group and 5 participants in the intervention group. This may have influenced outcome data