Autonomous Reactivity in Patients with Ischemic Heart Disease After Aortocoronary Bypass before Cardiac Rehabilitation
Authors:
P. Uhlíř; J. Opavský
Authors‘ workplace:
Katedra fyzioterapie FTK UP, Olomouc
Published in:
Rehabil. fyz. Lék., 23, 2016, No. 3, pp. 136-141.
Category:
Original Papers
Overview
This article is focused on the evaluation of cardiac autonomic reactivity of patients with coronary artery disease after coronary artery bypass graft surgery (CABG) and before cardiac rehabilitation. The group under study involved 30 patients after coronary artery disease after CABG (mean age 63.1 ± 7.1 years; 21 men, 9 women, the mean period from the date of CABG was 2.4 ± 0.6 months). Control group included 30 healthy volunteers (mean age 63.1 ± 6.9 years; 4 men, 26 women). Autonomic reactivity was evaluated by means of the spectral analysis of heart rate variability (SAHRV) in short-term records. Statistically significant differences in values of the parameters in frequency domain (reduction of Power LF, Power HF, Rel. HF, Total power and increase Ratio LF/HF), reduction of time domain parameter MSSD and and complex indices (Total score, Vagotonia, Sympathovagal balance) in repeated supine body position (supine 2) in the orthoclinostatic test in a group of patients in a comparison with the control group were registered. The findings suggest a tendency towards change in a sympathovagal balance, as compared with the control group, to a higher activity of sympathetic.
Keywords:
coronary artery disease, coronary artery bypass graft surgery, spectral analysis of heart rate variability, reactivity
Sources
1. ARSHAD, A., MANDAVA, A. , KAMATH, G., MUSAT, D.: Sudden cardiac death and the role of medical therapy. Prog. Cardiovasc. Dis., 50, 2008, 6, s. 420-438.
2. CYGANKIEWICZ, I., WRANITZ, J. K., BOLINSKA, H., ZASLONKA, J., JASZEWSKI, R., ZAREBA, W.: Influence of coronary artery bypass rafting on heart rate turbulence parameters. Am. J. Cardiol., 94, 2004, s. 186-189.
3. DEMIREL, S., AKKAYA, V., OFLAZ, H., TUKEK, T., ERK, O.: Heart rate variability after coronary artery bypass graft surgery: a prospective 3-year follow-up study. Ann Noninvasive Electrocardiol., 7, 2002, s. 247-250.
4. EAGLE, K. A., GUYTON, R. A., DAVIDOFF, R., EDWARDS, F. H., EWY, G. A., GARDNER, T. J., HART, J. C., HERRMANN, H. C. , HILLIS, L. D., HUTTER, A. M., LYTLE, B. W., MARLOW, R. A., NUGENT, W. C., ORSZULAK, T. A.: ACC/AHA 2004 guideline update for coronary artery bypass graft surgery: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines. Circulation, 110, 2004, 14, s. 340-437.
5. ECKBERG, D. L., DRABINSKY, M., BRAUNWALD, E.: Defective cardiac parasympathetic control in patients with heart disease. 285, 1971, s. 877-883.
6. KISELEVA, I. V., RIABYKINA, G. V., SOBOLEV, A. V., AGAPOV, A. A., AKCHURIN, R. S.: Heart rate variability before and after coronary artery bypass surgery in patients with ischemic heart disease. Kardiologiia, 42, 2002, 7, s. 16-20.
7. KLEIGER, R. E., MILLER, J. P., BIGGER J. T., MOSS A. J.: Decreased heart rate variability and its association with increased mortality after acute myocardial infarction. Am. J. Cardiol., 56, 1987, s. 256-262.
8. KUO, C. D., CHEN, G. Y., LAI S. T., WANG, J. H.: Sequential changes in heart rate variability after coronary artery bypass grafting. Am. J. Cardiol., 83, 1999, 5, s. 776-779.
9. LAITIO, T. T, HUIKURI, H. V, KOSKENVUO, J., JALONEN, J., MÄKIKALLIO, T. H., HELENIUS, H., KENTALA, E. S., HARTIALA, J., SCHEININ, H.: Long-term alterations of heart rate dynamics after coronary artery bypass graft surgery. Anesth. Analg., 102, 2006, 4, 1026-1031.
10. MALIK, M., CAMM, A. J.: Significance of long-term components of heart rate for the further prognosis after acute myocardial infarction. Cardiovascular Research, 24, 1990, 793-803.
11. MILICEVIC, G., ISTVANOVIC, N., MAJSEC, M.: Coronary artery bypass rafting reduces heart rate variability more than myocardial infarction does. In Thompsen P. E. B. (Ed.). Proceedings „Europace 2001“ Bologna, Medimond SRL, s. 355-358.
12. MILICEVIC, G., FORT, L., MAJSEC, M., BAKULA, V.: Heart rate variability decreased by coronary artery surgery has no prognostic value. European Journal of Cardiovascular Prevention & Rehabilitation, 11, 2004, s. 228-232.
13. NIEMALÄ, M. J., AIRAKSINEN, K. E. J., TAHVANAINEN, K. U. O., LINNALUOTO, M. K., TAKKUNEN, J. T.: Effect of coronary artery bypass grafting on cardiac parasympathetic nervous function. Eur Heart J., 13, 1992, s. 932-935.
14. OPAVSKÝ, J.: Autonomní nervový systém a diabetická autonomní neuropatie. Praha, Galén, 2002.
15. PIERO, O., BONETTI, M., GERALYN , M., PUMPER, R., STUART, T.: Noninvasive identification of patients with early coronary atherosclerosis by assessment of digital reactive hyperemia. Am. Coll. Cardiol., 42, 2004, 11, s. 2137-2141.
16. RIAHI, S., SCHMIDT, E. B., AMANAVICIUS, N., KARMISHOLT, J., JENSEN, H. S., HRISTOFFERSEN, R. P., NIEBUHR, U., CHRISTENSEN, J. H., TOFT, E.: The effect of atorvastatin on heart rate variability and lipoproteins in patients treated with coronary bypass surgery. International Journal of Cardiology, 111, 2006, s. 436-441.
17. SALINGER, J., OPAVSKÝ, J., STEJSKAL, P., VYCHODIL, R., OLŠÁK, S., JANURA, M.: The evaluation of heart rate variability in physical exercise by using the telemetric variapulse TF 3 system. Acta Gymnica Universitatis Palackianae Olomucensis, 28, 1998, s. 13-23.
18. SALINGER, J., ŠTĚPANÍK, P., KREJČÍ, J., STEJSKAL, P.: Non invasive investigation of the function of the autonomic nervous system with the use of the VarCor PF7 system. In Z. Borysiuk (Ed.), 5th International Conference Movement and Health-proceedings, Opole, 2006, s. 486-493.
19. SOARES, S. P. P., MORENO, A. M., CRAVO, S. L. D., NOBREGA, A. C., L.: Coronary artery bypass surgery and longitudinal evaluation of the autonomic cardiovascular function. Crit. Care, 9, 2005, 2, s. 124-131.
20. STEJSKAL, P., ŠLACHTA, R., ELFMARK, M., SALINGER, J., GAUL-ALÁČOVÁ, P.: Spectral analysis of heart rate variability: New evaluation method. Acta Universitatis Palackianae Olomucensis. Gymnica, 32, 2002, 2, s. 13-18.
21. TSAI, M. W., CHIE, W. C., KUO, T. B., CHEN, M. F., LIU, J. P., CHEN, T. T., WU, Y. T.: Effects of exercise training on heart rate variability after coronary angioplasty. Phys. Ther., 86, 2006, 5, s. 626-635.
22. UHLÍŘ, P., OPAVSKÝ, J., ZAATAR, A. M. Z., LEISSER, J.: Efekt lázeňské kardio-rehabilitace na variabilitu srdeční frekvence pacientů po aortokoronárním bypassu. Rehabilitace a fyzikální lékařství, 20, 2013, 3, s. 129-133.
Labels
Physiotherapist, university degree Rehabilitation Sports medicineArticle was published in
Rehabilitation and Physical Medicine
2016 Issue 3
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