Skip to main content
. 2019 Sep 23;2019(9):CD013435. doi: 10.1002/14651858.CD013435

Ogawa 2013.

Methods RCT, parallel design
Participants Total number of randomized participants: 136
Inclusion criteria: undergone isolated off‐pump CABG
Exclusion criteria: NYHA class IV; serious cardiac hypofunction with left ventricular ejection fraction < 30%; history of surgery for acute MI, or low tolerance to beta‐blockers
Type of surgery: off‐pump CABG (16.9% emergency surgery)
Baseline characteristics
Intervention group (landiolol)
  • Age, mean (SD): 69.3 (± 6.3) years

  • Gender, M/F: 49/19

  • History of MI, n: 29

  • History of hypertension, n: 46

  • Ejection fraction, mean (SD), %: 59.6 (± 11.5)

  • Preoperative use of beta‐blockers, n: 19


Control group (standard care)
  • Age, mean (SD): 71.6 (± 7.8) years

  • Gender, M/F: 56/12

  • History of MI, n: 37

  • History of hypertension, n: 52

  • Ejection fraction, mean (SD), %: 53.9 (± 11.9)

  • Preoperative use of beta‐blockers, n: 15


Country: Japan
Setting: not reported
Interventions Intervention group (landiolol)
  • Randomized, n = 68; losses = 0; analysed, n = 68 (use of ITT analysis not reported)

  • Details: landiolol started after induction of anaesthesia, dose 3‐5 µg/kg/min, titrated to control HR at 60‐90 bpm. Continued for 2 days


Control group (standard care)
  • Randomized, n = 68; losses = 0; analysed, n = 68

  • Details: standard care

Outcomes Outcomes measured/reported by study authors: AF, laboratory markers of ischaemia and inflammation, HR, bradycardia (HR < 50 bpm)
Outcomes relevant to the review: AF
Notes Funding/declarations of interest: not reported
Study dates: January 2008‐May 2010
Note:
  • we contacted the study authors who supplied a full‐text publication not previously identified in our search. We used this publication to collect data for the review

Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Low risk Treatment group allocation was performed using "a random number program"
Allocation concealment (selection bias) Unclear risk No details
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 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