Cardiovascular Physiotherapy on Respiratory Sinus Arrhythmia of Patients Undergoing Coronary Artery Bypass Grafting

Bianca Lopes Silva; Roberto Ribeiro da Silva; Hugo Valverde Reis; Ana Carolina Accosio Rodriguez; Priscila Souza E Souza; Isabela de Andrade; Leonardo Fonseca; Solange Guizillini; Michel Silva Reis

doi:10.21470/1678-9741-2020-0276

Cardiovascular Physiotherapy on Respiratory Sinus Arrhythmia of Patients Undergoing Coronary Artery Bypass Grafting

Braz J Cardiovasc Surg. 2021 Jun 1;36(3):424-428. doi: 10.21470/1678-9741-2020-0276.

Authors

Bianca Lopes Silva^{1

2}, Roberto Ribeiro da Silva^{1

3}, Hugo Valverde Reis^{1

3}, Ana Carolina Accosio Rodriguez^{1

3}, Priscila Souza E Souza¹, Isabela de Andrade^{1

3}, Leonardo Fonseca⁴, Solange Guizillini⁵, Michel Silva Reis^{1

2

3}

Affiliations

¹ Faculty of Physiotherapy, Research Group in Cardiorespiratory Evaluation and Rehabilitation (GECARE), Federal University of Rio de Janeiro (UFRJ), Rio de Janeiro, RJ, Brazil.
² Graduate Program in Physical Education, Federal University of Rio de Janeiro (UFRJ), Rio de Janeiro, RJ, Brazil.
³ Graduate Program in Cardiology, Federal University of Rio de Janeiro (UFRJ), Rio de Janeiro, RJ, Brazil.
⁴ Federal Hospital of State Public Servants, Rio de Janeiro, RJ, Brazil.
⁵ Federal University of São Paulo (UNIFESP), São Paulo, SP, Brazil.

Abstract

Patients in the postoperative period of coronary artery bypass grafting (CABG) present respiratory and autonomic dysfunctions. In this sense, cardiovascular physiotherapy has been offered as an indispensable differential for the improvement of the prognosis of this population. Heart rate variability is a simple, noninvasive method to analyze autonomic modulation, as well as the accentuation maneuver of respiratory sinus arrhythmia, which demonstrates the parasympathetic autonomic control over the heart. Five patients undergoing cardiac surgery performed a protocol of cardiovascular physiotherapy in the postoperative period and had their data referring to the preoperative period, the 1st and 4th postoperative days analyzed.

Keywords: Cardiovascular Physiotherapy; Coronary Artery Bypass Grafting; Heart Rate Variability; Respiratory Sinus Arrhythmia Maneuver.

Publication types

Research Support, Non-U.S. Gov't

MeSH terms

Arrhythmia, Sinus
Autonomic Nervous System
Coronary Artery Bypass
Humans
Physical Therapy Modalities
Postoperative Complications
Respiratory Sinus Arrhythmia*

Grants and funding

Financial support: The authors would like to thank all the subjects who participated in the research and all team who provided support during data collection. Additionally, we would like to thank the National Council for Scientific and Technological Development (CNPq - protocol: 487375/2012-2) and the Carlos Chagas Filho Foundation for Supporting Research in the State of Rio de Janeiro (FAPERJ - protocol: E-26/110.827/2012) for financial support. Finally, we would like to thank our colleagues from the Research Group on Cardiorespiratory Evaluation and Rehabilitation (GECARE).