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Background Peri-operative AF is the consequence of stress activation of Sympathetic Nervous System (SNS) following surgery [1,2]. The incidence of AF increase with the aging and in presence of comorbidities [3-5]. Clinical consequences include reduced cardiac output, lengthened hospitalization, an increase in the risk of cerebral thromboembolism and in many cases the need for systemic anticoagulation [6]. SNS overactivation could be treated with Beta Blockers and may reduce the occurrence of AF [7-10].

Prevention of perioperative atrial fibrillation with beta blockers in elderly patient during abdominal surgery