Document Detail

Effect of activity on supraventricular tachyarrhythmias after coronary artery bypass surgery.
MedLine Citation:
PMID:  2228658     Owner:  NLM     Status:  MEDLINE    
The purpose of this study was to evaluate patient activities, professional staff activities, backrest position, and diurnal variations as factors that may contribute to the onset of supraventricular tachyarrhythmias (SVT) after coronary artery bypass surgery (CABG). The activities surrounding the recognition of first-onset SVT, as well as preoperative and postoperative data and patient characteristics were examined in 249 patients having CABG. One hundred seventy-three patients qualified for the study; 28% of these patients (n = 49) had SVT. No statistical difference was found between the subjects with SVT and those without SVT when sex, cross-clamp time, creatine kinase peak, hemoglobin and hematocrit levels, and number of bypasses were examined. Patients who had SVT were older than those who did not: 64.8 years for the SVT group versus 60.7 years for the non-SVT group (p less than 0.01). SVT was rare in the first 24 hours after surgery, whereas 60% of the cases occurred during the next 48 hours, without significant diurnal variation: mean time of onset was 11:50 AM. No particular activity of the patient or nurse influenced the onset of SVT during the postoperative period in this group.
L H Crosby; K R Woll; K L Wood; W B Pifalo
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Heart & lung : the journal of critical care     Volume:  19     ISSN:  0147-9563     ISO Abbreviation:  Heart Lung     Publication Date:  1990 Nov 
Date Detail:
Created Date:  1990-12-21     Completed Date:  1990-12-21     Revised Date:  2006-08-28    
Medline Journal Info:
Nlm Unique ID:  0330057     Medline TA:  Heart Lung     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  666-70     Citation Subset:  AIM; IM    
Cardiopulmonary Rehabilitation Department, Allegheny General Hospital, Pittsburgh, PA 15212.
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MeSH Terms
Activities of Daily Living*
Circadian Rhythm
Coronary Artery Bypass / adverse effects*,  nursing
Middle Aged
Nursing Care
Postoperative Complications / epidemiology*,  etiology,  physiopathology
Risk Factors
Tachycardia, Supraventricular / epidemiology*,  etiology,  physiopathology

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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