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)
Control group (standard care)
Country: New Zealand Setting: single centre; hospital |
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Interventions |
Intervention group (propranolol)
Control group (standard care)
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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 |
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Notes |
Funding/declarations of interest: not reported Study dates: not reported |
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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 |