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The Influence of Comprehensive Cardiac Rehabilitation on Heart Rate Variability Indices after CABG is More Effective than after PCI

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Abstract

The aim of this study was to evaluate the influence of cardiac rehabilitation (CR) on heart rate variability (HRV) indices in men with coronary artery disease (CAD) treated with percutaneous coronary intervention (PCI) or coronary artery bypass graft surgery (CABG). The study population consisted of 131 male patients with CAD prospectively and consecutively admitted to CR after PCI n = 72, or CABG n = 59. Participants performed cycle ergometer interval training for 45 min three times a week for 8 weeks. At baseline and after 8 weeks, all patients underwent the HRV assessment. HRV indices in CAGB survivals were significantly lower in comparison to PCI patients at baseline. Significant increases were seen for SDNN, rMSSD, and HF in the CABG group and only in HF component in PCI group after 8 weeks of CR. Eight weeks of CR seems to be more effective in CABG patients than patients after PCI.

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Abbreviations

CR:

Cardiac rehabilitation

HRV:

Heart rate variability

CAD:

Coronary artery disease

PCI:

Percutaneous coronary intervention

CABG:

Coronary artery bypass graft surgery

DM:

Diabetes mellitus

THR:

Training heart rates

HRR:

Heart rate reserve

HR:

Heart rate

BP:

Blood pressure

BMI:

Body mass index

RPP:

Rate pressure product was calculated as HR x systolic BP

mRR:

The mean RR interval

SDNN:

The standard deviation of the normal RR interval

rMSSD:

Square root of the mean square differences of successive RR intervals

pNN50:

Proportion of the total RR intervals that have differences of successive RR intervals greater than 50 ms

LF:

Low-frequency component 0.04–0.15 Hz

HF:

High-frequency component 0.15–0.4 Hz

EDV:

End diastolic volume

ESV:

End systolic volume

SV:

Systolic volume

LVEF:

Left ventricular ejection fraction

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Acknowledgements

We are thankful to Joanna Leszczyńska, Katarzyna Wielemborek-Musiał, Mirosława Bill-Bielecka, and Teresa Stasiak for the excellent technical assistance.

Author information

Authors and Affiliations

  1. Department of Sports Medicine, Medical University of Lodz, Pomorska 251, 92-213, Łódź, Poland

    Katarzyna Szmigielska & Anna Jegier

  2. Department of Hematology, Medical University of Lodz, Łódź, Poland

    Anna Szmigielska-Kapłon

Authors
  1. Katarzyna Szmigielska
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  2. Anna Szmigielska-Kapłon
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  3. Anna Jegier
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Corresponding author

Correspondence to Katarzyna Szmigielska.

Ethics declarations

The study protocol was approved by the local ethical committee at Medical University. All procedures were followed in accordance with the ethical standards of the committee on human experimentation (institutional and national) and with the Helsinki Declaration of 1975, as revised in 2008. Written informed consent was obtained from all participants.

Conflict of Interest

The authors declare that they have no conflict of interest.

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Associate Editor Emanuele Barbato oversaw the review of this article

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Szmigielska, K., Szmigielska-Kapłon, A. & Jegier, A. The Influence of Comprehensive Cardiac Rehabilitation on Heart Rate Variability Indices after CABG is More Effective than after PCI. J. of Cardiovasc. Trans. Res. 11, 50–57 (2018). https://doi.org/10.1007/s12265-017-9773-x

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  • DOI: https://doi.org/10.1007/s12265-017-9773-x

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