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Should patients with preoperative atrial fibrillation who are undergoing cardiac surgery undergo concomitant atrial fibrillation surgery?
There is moderate-quality evidence that concomitant atrial fibrillation surgery approximately doubles the likelihood of freedom from atrial fibrillation, atrial flutter, or atrial tachycardia while not receiving antiarrhythmic medications at least 3 months after the procedure with a small absolute increase in needing a permanent pacemaker.
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Corresponding Author: Mark D. Huffman, MD, MPH, Department of Preventive Medicine, Northwestern University Feinberg School of Medicine, 680 N Lake Shore Dr, Ste 1400, Chicago, IL 60611 (firstname.lastname@example.org).
Published Online: February 8, 2017. doi:10.1001/jamacardio.2016.5404
Conflict of Interest Disclosures: All authors have completed and submitted the ICMJE Form for Disclosure of Potential Conflicts of Interest. Dr Huffman receives support from the World Heart Federation Emerging Leaders program through grants from AstraZeneca, Boehringer Ingelheim, and Bupa. Dr Malaisrie receives honoraria from Edwards, Bolton, Baxter, and Abiomed for speaking and consulting activities. No other disclosures were reported.
Disclaimer: Dr Huffman is the Associate Editor of JAMA Cardiology but was not involved in the editorial review or the decision to accept the manuscript for publication.
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