Colchicine for Prevention of Post-Operative Atrial Fibrillation: A Meta-Analysis.

JACC. Clinical Electrophysiology
Justin Z LeeAnil Pandit

Abstract

This study sought to investigate the efficacy and safety of colchicine for prevention of post-operative atrial fibrillation. Proinflammatory processes induced during cardiac surgery may contribute toward post-operative atrial fibrillation (AF). Colchicine is a potent anti-inflammatory agent, which may have a role in post-operative AF prevention. We searched PubMed, EMBASE, Web of Science, CINAHL, ClinicalTrials.gov, and the Cochrane Library databases for randomized controlled trials (RCT) comparing colchicine versus placebo for prevention of post-operative AF. The main outcome measure of interest was the development of AF within 12 months after cardiac surgery. The overall risk ratio (RR) for the development of post-operative AF was computed using a random-effects model. Data analyzed from 3 randomized studies with a total of 912 patients, where 457 patients received colchicine and 455 patients received placebo, showed that perioperative colchicine therapy was associated with a reduced incidence of post-operative AF (RR: 0.65; 95% confidence interval [CI]: 0.46 to 0.91; p < 0.01). Although colchicine therapy was associated with increased incidence of gastrointestinal intolerance (RR: 2.20; 95% CI: 1.31 to 3.70; p = 0.003), it w...Continue Reading

References

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Citations

May 16, 2018·Cell Biology International·George N Chaldakov
Jul 29, 2020·The Journal of International Medical Research·Ramzi A TabbalatJude Barakat
Mar 30, 2017·American Journal of Cardiovascular Drugs : Drugs, Devices, and Other Interventions·Kevin ChenVenu Menon

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