Clinical hypnosis for reduction of atrial fibrillation after coronary artery bypass graft surgery.
The belief that postoperative atrial fibrillation (PAF) results from transient autonomic dysfunction suggests that interventions such as clinical hypnosis may reduce the incidence of PAF. To explore this hypothesis, we retrospectively compared outcomes between two groups of patients undergoing coronary artery bypass graft surgery: 50 consecutive patients who received preoperative hypnoidal explanation of the surgical procedure and 50 case-matched historical controls who received no clinical hypnosis. The patients who received hypnosis were significantly less likely to experience an episode of PAF (P = .003) and showed nonsignificant trends toward superior outcomes in terms of length of stay, narcotic use, and total hospital charges. Our findings indicate that prospective randomized trials are warranted to further delineate the potential benefit of clinical hypnosis for prevention of PAF.
Aultman Heart Center, Aultman Health Foundation, Canton, OH 44714, USA. rnovoa@neo.rr.com
Roberto
R
Novoa
Tracy
T
Hammonds
D000368:Aged; D001281:Atrial Fibrillation / Q000209:etiology / Q000503:physiopathology / Q000517:prevention & control* / Q000628:therapy; D001341:Autonomic Nervous System / Q000503:physiopathology; D016022:Case-Control Studies; D001026:Coronary Artery Bypass / Q000009:adverse effects*; D005260:Female; D006801:Humans; D006990:Hypnosis; D015994:Incidence; D008297:Male; D012189:Retrospective Studies; D012307:Risk Factors