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

Salazar 1979.

Methods RCT, parallel design
Participants Total number of randomized participants: 42
Inclusion criteria: scheduled for CABG surgery; all participants taking beta‐blocker therapy preoperatively
Exclusion criteria: additional procedures such as valve replacement or aneurysmectomy, or people with complicated postoperative courses such as re‐exploration for bleeding or perioperative infarction
Type of surgery: elective CABG
Baseline characteristics not reported by group: study authors state "There were no statistically significant differences between the two group with respect to age, sex, extent of disease, number of grafts, dosage of propranolol preoperatively, or other pertinent variables"
Country: USA
Setting: single centre; hospital
Interventions Intervention group (propranolol)
  • Randomized, n = 20; losses = 0; analysed, n = 20 (use of ITT analysis was not reported)

  • Details: usual dose of propranolol was discontinued 10 h before surgery; then 1 mg propranolol IV, every 4 h postoperatively; then 10 mg orally every 6 h when possible. Discontinuation time point was not specified


Control group (standard care)
  • Randomized, n = 22; losses = 0; analysed, n = 22 (use of ITT analysis was not reported)

  • Details: no additional propranolol was given

Outcomes Outcomes measured/reported by study authors: sinus tachycardia; paroxysmal atrial tachycardia, flutter‐fibrillation; multiple atrial/nodal premature contractions; hypotension (SBP < 100 mmHg)
Outcomes relevant to the review: AF; hypotension
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 High risk Study authors reported no difference in baseline characteristics, however, no table was presented in the study report to allow for comparison. In addition, we noted that participants in either group were given supplemental propranolol to control arrhythmias. This may have influenced outcome data.