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

Matangi 1985.

Methods RCT, parallel design
Participants Total number of randomized participants: 168
Inclusion criteria: scheduled for CABG surgery, preoperative use of beta‐blockers
Exclusion criteria: ejection fraction 35% or less, no preoperative use of beta‐blockers, SVT, postoperative inotropic support, congestive heart failure, postoperative heart block, involvement in another study where propranolol was contraindicated, sick sinus syndrome, known reaction to propranolol
Type of surgery: elective CABG
Baseline characteristics
Intervention group (propranolol)
  • Age, mean (SD): 54.6 (± 9.3) years

  • Gender, M/F: 67/15

  • Angina class I/II/III/IV/V: 1/7/37/34/3

  • History of MI, n: 41

  • History of hypertension, n: 41


Control group (standard care)
  • Age, mean (SD): 55.7 (± 9.9) years

  • Gender, M/F: 63/19

  • Angina class I/II/III/IV/V: 2/6/38/33/3

  • History of MI, n: 54

  • History of hypertension, n: 44


Country: New Zealand
Setting: single centre; hospital
Interventions Intervention group (propranolol)
  • Randomized, n = 83; losses = 1 (owing to SVT); analysed, n = 82 (use of ITT analysis for some losses)

  • Details: propranolol 5 mg every 6 h, initially via nasogastric tube and then orally, started postoperatively and continued until time of discharge


Control group (standard care)
  • Randomized, n = 85; losses = 3 (owing to SVT); analysed, n = 82 (use of ITT analysis for some losses, but not those relating to supraventricular arrhythmias)

  • Details:standard care

Outcomes Outcomes measured/reported by study authors: supraventricular arrhythmias (AF and atrial tachycardia), ventricular arrhythmias, ventricular premature beats, acute MI, mortality
Outcomes relevant to the review: AF, ventricular arrhythmias, MI, mortality
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 Use of sealed envelopes. Insufficient information
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 In 4 participants, beta‐blocker therapy was discontinued because of side effects (low cardiac output, bronchospasm, nightmares) but were analysed according to ITT. 4 participants were excluded owing to clinical events specified in exclusion criteria; these participants were not included in analyses. However, loss is < 10%
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