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2008 | 3 | 1 | 65-70
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Heart rate variability in patients after cardiac valve surgery

Treść / Zawartość
Warianty tytułu
Języki publikacji
EN
Abstrakty
EN
The aim of study was to analyze heart rate variability (HRV) after different cardiac valve surgery procedures and the prognostic values of these findings. This study included 101 consecutive patients who underwent surgical implantation for an artificial valve. The mean age of the patients was 62 ± 10 years. An aortic valve was implanted in 65 patients. A mitral valve was implanted in 36 patients. HRV was analyzed from 24 hours Holter electrocardiographic (ECG) records. The time from the operation to the recording of Holter ECG and measuring HRV was 3.8 ± 1.4 months. After discharged from stationary cardiac rehabilitation, all involved patients were contacted to provide data on their health in the follow-up period (33 ± 21 months). A total of 46 patients with an implanted artificial valve had decreased overall HRV or standard deviation of all normal R-R intervals (SDNN) < 93 ms. Patients with an implanted artificial mitral valve had a shorter RR interval (817 ± 122 vs. 863 ± 122ms, p=0.03) and lower values of total power (1166 ± 1888 vs. 2802 ± 3601 ms2, p<0.001) compared to patients with an implanted artificial aortic valve. The results of study show that several months after cardiac surgery, almost half of the patients with an implanted artificial valve have decreased HRV. However, postoperative decreased HRV in those patients have no importance in long-term prediction of mortality rate.
Słowa kluczowe
EN
Wydawca

Czasopismo
Rocznik
Tom
3
Numer
1
Strony
65-70
Opis fizyczny
Daty
wydano
2008-03-01
online
2008-03-01
Twórcy
  • Department of Cardiology, Hospital for Medical Rehabilitation Krapinske Toplice, Croatia
  • Department of Cardiology, Hospital for Medical Rehabilitation Krapinske Toplice, Croatia
  • Andrija Stampar School of Public Health, Zagreb, Croatia
Bibliografia
  • [1] Zipes D.P., Libby P., Bonow R.O., Braunwald E., Braunwald’s Heart Disease. A textbook of cardiovascular medicine, Elsevier Saunders, Philadelphia, 2005
  • [2] Akselrod S., Gordon D., Ubel F.A., Shannon D.C., Barger A.C., Cohen R.J., Power spectrum analysis of heart rate fluctuation: a quantitative probe of beat to beat cardiovascular control, Science, 1981, 213, 220–222 http://dx.doi.org/10.1126/science.6166045[Crossref]
  • [3] Task Force of The European Society of Cardiology and The North American Society of Pacing and Electrophysiology, Heart rate variability. Standards of measurement, physiological interpretation, and clinical use, Eur. Heart. J., 1996, 17, 354–351
  • [4] Milicevic G., Lakusic N., Szirovicza L., Cerovec D., Majsec M., Different cut-points of decreased heart rate variability for different groups of cardiac patients, J. Cardiovasc. Risk., 2001, 8, 93–102 http://dx.doi.org/10.1097/00043798-200104000-00006[Crossref]
  • [5] Demirel S., Tukek T., Akkaya V., Atilgan D., Ozcan M., Guven O., Heart Rate Variability After Coronary Artery Bypass Grafting, Am. J. Cardiol., 1999, 84, 496–497 http://dx.doi.org/10.1016/S0002-9149(99)00403-8[Crossref]
  • [6] Kuo C.D., Chen G.Y., Lai S.T., Wang Y.Y., Shih C.C., Wang J.H., Sequential Changes in Heart Rate Variability After Coronary Artery Bypass Grafting, Am. J. Cardiol., 1999, 83, 776–779 http://dx.doi.org/10.1016/S0002-9149(98)00989-8[Crossref]
  • [7] Milicevic G., Majsec M., Lakusic N., Istvanovic N., Cerovec D., Utilisation of a Heart Rate Variability in a Routine Practice, Proceedings of Europace 2001, Monduzzi Editore, 2001, 359–363
  • [8] Lakusic N., Mahovic D., Babic T., Gradual recovery of impaired cardiac autonomic balance within first six months after ischemic cerebral stroke, Acta Neurol. Belg., 2005, 105, 39–42
  • [9] Feigenbaum H., Armstrong W.F., Ryan T., Feigenbaum’s Echocardiography, Williams & Wilkins, Lippincott, 2005
  • [10] Kleiger R.E., Miller J.P., Bigger J.T., Moss A.J. and the Multicenter Post-Infarction Research Group, Decreased heart rate variability and its association with increased mortality after acute myocardial infarction, Am. J. Cardiol., 1987, 59, 256–262 http://dx.doi.org/10.1016/0002-9149(87)90795-8[Crossref]
  • [11] Quintana M., Storck N., Lindblad L.E., Ericson M., Heart Rate Variability as a means of assessing prognosis after acute myocardial infarction. A 3-year follow-up study, Eur. Heart J., 1997, 18, 789–797 [Crossref]
  • [12] Vaishnav S., Stevenson R., Marchant B., Lagi K., Ranjadayalan K., Timmis A., Relation Between Heart Rate Variability Early After Acute Myocardial Infarction and Long-Term Mortality, Am. J. Cardiol., 1994, 73, 653–657 http://dx.doi.org/10.1016/0002-9149(94)90928-8[Crossref]
  • [13] Kouchoukos N.T., Karp R.B., Blackstone E.H., Doty D.B., Hanley F.L., Cardiac surgery, Churchill Livingstone, New York, 2003
  • [14] Lukac P., Hjortdal V.E., Pedersen A.K., Mortensen P.T., Jensen H.K., Hansen P.S., Superior transseptal approach to mitral valve is associated with a higher need for pacemaker implantation than the left atrial approach, Ann. Thorac. Surg., 2007, 83, 77–82 http://dx.doi.org/10.1016/j.athoracsur.2006.08.034[Crossref][WoS]
  • [15] Hung J., Chaput M., Guerrero J.L., Handschumacher M.D., Papakostas L., Sullivan S., et al., Persistent reduction of ischemic mitral regurgitation by papillary muscle repositioning: structural stabilization of the papillary muscle-ventricular wall complex, Circulation, 2007, 1259–1263 [WoS]
  • [16] Boehm J., Libera P., Will A., Martinoff S., Wildhirt S.M., Partial median “I” sternotomy: minimally invasive alternate approach for aoritc valve replacement, Ann. Thorac. Surg., 2007, 84, 1053–1055 http://dx.doi.org/10.1016/j.athoracsur.2006.12.042[Crossref]
  • [17] Laitio T.T., Huikuri H.V., Kentala E.S., Maikikallio T.H., Jalonen J.R., Helenius H., et al., Correlation properties and complexity of perioperative RRinterval dynamics in coronary artery bypass surgery patients, Anesthesiology, 2000, 93, 69–80 http://dx.doi.org/10.1097/00000542-200007000-00015[Crossref]
  • [18] Hogue C.W., Stein P.K., Apostolidou I., Lappas D.G., Kleiger R.E., Alterations in Temporal Patterns of Heart Rate Variability after Coronary Artery Bypass Surgery, Anesthesiology, 1994, 81, 1356–1364 http://dx.doi.org/10.1097/00000542-199412000-00009[Crossref]
  • [19] Ozdemir O., Alyan O., Soylu M., Metin F., Kacmaz F., Demir A.D., et al., Improvement in sympathovagal imbalance and heart rate variability in patients with mitral stenosis after percutaneous balloon commissurotomy, Europace., 2005, 7, 204–210 http://dx.doi.org/10.1016/j.eupc.2005.02.088[Crossref]
  • [20] Ozdemir O., Alyan O., Soylu M., Metin F., Demir A.D., Geyik B., et al., Sympathetic over activity in patients with rheumatic mitral stenosis, Ann. Noninvasive Electrocardiol., 2004, 9, 352–357 http://dx.doi.org/10.1111/j.1542-474X.2004.94575.x[Crossref]
Typ dokumentu
Bibliografia
Identyfikatory
Identyfikator YADDA
bwmeta1.element.-psjd-doi-10_2478_s11536-007-0070-y
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