Incidence and risk factors associated with cardiac arrhythmias during rehabilitation after coronary artery bypass surgery.

Abstract:

OBJECTIVE:To evaluate the clinical relevance of cardiac arrhythmias during rehabilitation after coronary artery bypass graft (CABG) surgery. DESIGN:Survey of consecutive patients admitted to an inpatient cardiac rehabilitation center. SETTING:A rehabilitation center acting as a reference for cardiology clinics lacking this facility. The program was performed in the inpatient setting. PATIENTS:Two hundred sixty patients undergoing elective CABG surgery for angina. INTERVENTIONS:Four-week cardiac rehabilitation program. A 24-hour electrocardiographic examination was performed during the first 2 days and, subsequently, on a daily basis. MAIN OUTCOME MEASURES:Incidence and type of cardiac arrhythmias during rehabilitation; identification of factors associated with an increased risk of cardiac arrhythmias. RESULTS:Cardiac arrhythmias were recorded in 33.5% of the patients and were more frequent in patients with hypertension (47%), diabetes (42.4%), and hyperlipidemia (36.5%), compared with patients free from these diseases (15.5%) (p < .05). Arrhythmias were also recorded in patients older than 70 years (49%), compared with those younger (29.2%) (p < .01), and in patients who discontinued amiodarone (64.3%) compared with those who did not interrupt the drug (16%) (p < .005). Arrhythmias precluded rehabilitation in 5% of the patients and caused death in one patient. CONCLUSION:Surveillance for the development of cardiac arrhythmias during cardiac rehabilitation after CABG surgery may allow the early detection and treatment of arrhythmias in a substantial number of patients.

journal_name

Arch Phys Med Rehabil

authors

Galante A,Pietroiusti A,Cavazzini C,Magrini A,Bergamaschi A,Sciarra L,Chartouni G,Legramante JM,Carta S

doi

10.1053/apmr.2000.5587

subject

Has Abstract

pub_date

2000-07-01 00:00:00

pages

947-52

issue

7

eissn

0003-9993

issn

1532-821X

pii

S0003-9993(00)73324-7

journal_volume

81

pub_type

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