scholarly journals Heart Rate Variability after Off-Pump versus On-Pump Coronary Artery Bypass Graft Surgery

2009 ◽  
Vol 2009 ◽  
pp. 1-4 ◽  
Author(s):  
Nenad Lakusic ◽  
Valentina Slivnjak ◽  
Franjo Baborski ◽  
Dusko Cerovec

Background.It is known that after coronary artery bypass graft surgery (CABG) heart rate variability (HRV) becomes significantly decreased with a gradual recovery in a few months after surgery. However, literature data about the impact of the off-pump CABG on postoperative HRV are not complete. Therefore, the aim of this study was to analyze postoperative value of HRV in CABG patients operated on with off-pump versus on-pump coronary surgery.Methods.This study included 206 consecutive patients who underwent CABG. Sixty six patients (32%) were operated on off-pump while 140 patients (68%) were operated on using the machine for extracorporal circulation. HRV was analyzed from 24-hours Holter electrocardiogram recordings.Results.No significant differences in postoperative values of HRV variables were found between off-pump versus on-pump CABG patients (Mean RR interval 885 106 versus 879 125 ms, standard deviation of all normal R-R intervals 107 30 versus 105 34 ms, NS, total power 2298 2472 versus 2156 1913 ms2, NS).Conclusions.The results of the study showed that there are no differences in HRV few months after surgery between patients operated on with off-pump versus on-pump CABG.

2019 ◽  
Vol 87 (12) ◽  
pp. 5179-5186
Author(s):  
ZEINAB M. HELMY, Ph.D.; ABEER A. FARGHALY, Ph.D. ◽  
AYMN S. GADO, M.D.; HAIDY M. EL MOSALAMY, M.Sc.

2011 ◽  
Vol 14 (1) ◽  
pp. 38-47 ◽  
Author(s):  
N. Chenier-Hogan ◽  
C. A. Brown ◽  
S. M. J. Hains ◽  
J. L. Parlow

Heart rate variability (HRV), a quantitative marker of autonomic control of heart rate (HR), declines in men and women following coronary artery bypass graft (CABG) surgery. Although d,l-sotalol is prescribed following CABG surgery primarily for its antiarrhythmic effect, its effects on HRV have not been reported; the β-adrenergic antagonist effect of d,l-sotalol may attenuate sympathetically mediated HR and blood pressure (BP) responses to standing, resulting in postural hypotension. In this study, the HRV response to standing 4 days following CABG surgery in men and women prescribed d,l-sotalol was measured to examine the influence of d,l-sotalol on previously reported HRV responses, taking age and gender into consideration. Participants included 28 men and 10 women who completed testing in supine and standing postures; all had received low-dose d,l-sotalol daily since the first postoperative day. Data included continuous electrocardiograph recording of R-R interval for 10 min in each posture. Participants showed significant effects of standing on the autonomic modulation of HR, as seen by a decrease in parasympathetic indices and R-R interval and an increase in BP. In men, standing decreased parasympathetic modulation and increased the sympathetic nervous system indicator, but previously reported age effects were not seen. In women, standing decreased low frequency power and R-R interval and increased BP, with older women having a smaller increase in BP, suggesting an attenuated response. The differential autonomic nervous system modulation of HR as a function of gender and age after CABG surgery may be attenuated by d,l-sotalol.


2018 ◽  
Vol 7 ◽  
pp. e838
Author(s):  
Mohammad Zolfaghari ◽  
ُSeyed Jalil Mirhosseini ◽  
Maryam Baghbeheshti ◽  
Brent A. Bauer

Background: Chest physiotherapy (CPT) is a care that increases the mobilization of several structures from both muscle and subcutaneous tissue. We planned to investigate the effect of classic CPT on pain, fatigue, satisfaction, and hospital length of stay (LOS) in patients undergoing off-pump coronary artery bypass graft (CABG). Materials and Methods: This study was a randomized controlled trial that conducted on 50 patients undergoing elective off-pump CABG. The patients have been randomly divided into two groups; in the group A (n=25) patients received physiotherapy at a single session of classic CPT, 4 times during 2nd to 5th days for 15 minutes in every session, in the group B (n=25) patients had not protocol of this exercise therapy (control). Results:The average age of all participants was 62.08 ±9.08 years. Of the 50 patients, 33 (66%) was male. Classic CPT significantly decreased pain (P=0.04), hospital LOS (P=0.010) and could increase in patients’ satisfaction (P<0.001). However, it had no considerable effect on fatigue (P=0.725). Conclusion: According to our findings, classic CPT could improve postoperative care after off-pump CABG surgery. [GMJ.2018;7:e838]


1994 ◽  
Vol 81 (6) ◽  
pp. 1356-1364 ◽  
Author(s):  
Charles W. Hogue ◽  
Phyllis K. Stein ◽  
Ioanna Apostolidou ◽  
Demetrios G. Lappas ◽  
Robert E. Kleiger

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