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.
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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.
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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