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| Content Provider | World Health Organization (WHO)-Global Index Medicus |
|---|---|
| Author | Tashiro, Naonori Takahashi, Shinya Takasaki, Taiichi Katayama, Keijiro Taguchi, Takahiro Watanabe, Masazumi Kurosaki, Tatsuya Imai, Katsuhiko Kimura, Hiroaki Sueda, Taijiro |
| Description | Author Affiliation: Tashiro N ( Department of Rehabilitation, Hiroshima University Hospital.) |
| Abstract | BACKGROUND: Postoperative complications after cardiac surgery increase mortality. This study aimed to evaluate the efficacy of cardiopulmonary rehabilitation with adaptive servo-ventilation (ASV) in patients undergoing off-pump coronary artery bypass grafting (OPCAB). METHODS AND RESULTS: A total of 66 patients undergoing OPCAB were enrolled and divided into 2 groups according to the use of ASV (ASV group, 30 patients; non-ASV group, 36 patients). During the perioperative period, all patients undertook cardiopulmonary rehabilitation. ASV was used from postoperative day (POD) 1 to POD5. Hemodynamics showed a different pattern in the 2 groups. Blood pressure (BP) on POD6 in the ASV group was significantly lower than that in the non-ASV group (systolic BP, 112.9±12.6 vs. 126.2±15.8 mmHg, P=0.0006; diastolic BP, 62.3±9.1 vs. 67.6±9.3 mmHg, P=0.0277). The incidence of postoperative atrial fibrillation (POAF) was lower in the ASV group than in the non-ASV group (10% vs. 33%, P=0.0377). The duration of oxygen inhalation in the ASV group was significantly shorter than that in the non-ASV group (5.1±2.2 vs. 7.6±6.0 days, P=0.0238). The duration of postoperative hospitalization was significantly shorter in the ASV group than in the non-ASV group (23.5±6.6 vs. 29.0±13.1 days, P=0.0392). CONCLUSIONS: Cardiopulmonary rehabilitation with ASV after OPCAB reduces both POAF occurrence and the duration of hospitalization. |
| File Format | HTM / HTML |
| ISSN | 13469843 |
| e-ISSN | 13474820 |
| Journal | Circulation Journal |
| Issue Number | 6 |
| Volume Number | 79 |
| Language | English |
| Publisher | The Japanese Circulation Society |
| Publisher Date | 2015-01-01 |
| Publisher Place | Japan |
| Access Restriction | Open |
| Subject Keyword | Discipline Cardiology Coronary Artery Bypass, Off-pump Rehabilitation Coronary Disease Positive-pressure Respiration Postoperative Care Postoperative Complications Prevention & Control Atrial Fibrillation Epidemiology Etiology Breathing Exercises Cardiovascular Agents Therapeutic Use Combined Modality Therapy Comorbidity Physiopathology Surgery Exercise Therapy Hemodynamics Oxygen Inhalation Therapy Instrumentation Pulmonary Ventilation Respiration Disorders Ultrasonography Randomized Controlled Trial |
| Content Type | Text |
| Resource Type | Article |
| Subject | Cardiology and Cardiovascular Medicine |
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