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

Lamb 1988.

Methods RCT, parallel design
Participants Total number of randomized participants: 60
Inclusion criteria: scheduled for CABG surgery
Exclusion criteria: history of arrhythmia, asthma, peripheral vascular disease, congestive cardiac failure, left ventricular ejection fraction < 0.4
Type of surgery: elective CABG
Baseline characteristics
Intervention group (atenolol)
  • Age, mean (SD): 52.7 (± 7.8) years

  • Gender, M/F: 27/3

  • NYHA score, mean (SD): 2.8 (± 0.8)

  • History of MI, n: 18

  • Preoperative use of beta‐blockers, n: 16


Control group (standard care)
  • Age, mean (SD): 57.1 (± 7.3) years

  • Gender, M/F: 25/5

  • NYHA score, mean (SD): 3.0 (± 0.9)

  • History of MI, n: 19

  • Preoperative use of beta‐blockers, n: 14


Country: UK
Setting: single centre; hospital
Interventions Intervention group (atenolol)
  • Randomized, n = 30; losses = 0; analysed, n = 30 (use of ITT analysis not reported)

  • Details: atenolol 50 mg, orally, daily treatment was started 72 h before surgery and was continued for 7 days


Control group (standard care)
  • Randomized, n = 30; losses = 0; analysed, n = 30

  • Details: standard care, no additional treatment

Outcomes Outcomes measured/reported by study authors: supraventricular arrhythmias; AF
Outcomes relevant to the review: AF
Notes Funding/declarations of interest: not reported
Study dates: not reported
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk Not specified
Allocation concealment (selection bias) Unclear risk Not specified
Blinding of participants and personnel (performance bias) 
 All outcomes High risk Open‐label trial
Blinding of outcome assessors (detection bias) 
 All outcomes High risk Open‐label trial
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 Low risk Not detected