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Heart rate variability decreased by coronary artery surgery has no prognostic value

Background Decreased heart rate variability (HRV) may predict cardiac death after myocardial infarction (MI). Coronary artery bypass grafting (CABG) strongly decreases HRV, but improves survival. The aim of the study was to determine the prognostic value of HRV decreased by coronary surgery. Design...

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Bibliographic Details
Published in:European journal of cardiovascular prevention and rehabilitation 2004-06, Vol.11 (3), p.228-232
Main Authors: Milicevic, Goran, Fort, Ljubica, Majsec, Marcel, Bakula, Vinko
Format: Article
Language:English
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Summary:Background Decreased heart rate variability (HRV) may predict cardiac death after myocardial infarction (MI). Coronary artery bypass grafting (CABG) strongly decreases HRV, but improves survival. The aim of the study was to determine the prognostic value of HRV decreased by coronary surgery. Design and methods Four-year follow-up was performed in 175 consecutive patients with HRV decreased by CABG (51) or MI (124). Mortality and secondary events rate were analysed. Decreased HRV, defined by the standard deviation of mean RR interval (SDNN) < 100 ms, was detected by a routine 24-h Holter electrocardiogram at admission to stationary rehabilitation 3 weeks to 3 months after acute MI or CABG. Two groups did not differ except by age; CABG patients were younger (56 versus 64 years, P
ISSN:2047-4873
1741-8267
2047-4881
DOI:10.1097/01.hjr.0000129743.53464.c0