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- W2804420670 abstract "Coronary Artery Bypass Grafting (CABG) surgery is the method of choice for treating patients with multivessel coronary disease. Heart rate turbulence (HRT) is a new method for risk stratification based on a simple expression of ventriculophasic sinus arrhythmia, after a single ventricular premature beat (VPB). HRT also reflects baroreceptor sensitivity. The aim of this study was to evaluate the influence of CABG surgery on HRT parameters assessed 10 days after operation. Ninety-five consecutive patients with coronary artery disease presenting with sinus rhythm were enrolled in this study (mean age 53±13, range: 39 –82). Forty patients having no VPB on holter recordings were excluded from study. In each patient, a 24 h Holter recording was obtained during a stable phase of coronary artery disease. An ELATEC Holter system was used to process the Holter recordings. All subjects had a complete history, laboratory examination and transthorasic echocardiography. All patients analyzed did not have symptoms or signs of myocardial ischemia during 24 hours holter recording period. Mean value of left ventricular ejection fraction was 52.1±5.6. HRT onset showed an increase after CABG, whereas HRT slope was found to be lower (TO: −0.66±1.77, 0.22±1.3, p = 0.028; TS: 6.97±4.97, 2.81±4.47, p = 0.002). This study showed that HRT parameters were impaired after CABG. It may be related to the perioperative autonomic nerve damage and impairment of baroreceptor sensitivity, caused by clamping of the aorta." @default.
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- W2804420670 date "2005-10-01" @default.
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- W2804420670 title "Impairment of Heart Rate Turbulence After Coronary Artery Bypass Grafting" @default.
- W2804420670 doi "https://doi.org/10.1016/j.eupc.2005.08.093" @default.
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