Document Detail


The relationship between functional capacity (FC) and cardiac autonomic nervous dysfunction to surgery stress in senile patients.
MedLine Citation:
PMID:  20684998     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
The aim of the study presented here is to compare the pre- and post-operative cardiac autonomic nervous function of senile patients with different functional capacities (FC). Ninety-two senile patients scheduled for elective non-cardiac surgery were selected, whose FC was evaluated in terms of Duke activity status index (DASI). According to FC, the patients were classified into three groups: Group 1 (poor FC); Group 2 (moderate FC) and Group 3 (excellent FC). Heart rate variability (HRV) was monitored during the night before, on the 1st and the 2nd day after operation respectively. The results demonstrated some indices of pre-operative HRV of patients with poor or moderate FC were significantly lower than those with excellent FC. After surgery, total power (TP), high frequency (HF), low frequency (LF) and very low frequency (VLF) of all patients were significantly decreased. The LF/HF of patients with a poor or moderate FC showed a significant difference compared to patients with excellent FC. In conclusion, we emphasize that surgery induced a cardiac autonomic nervous dysfunction in senile patients not only with low FC but also with high FC; the disturbance of pre- and post-operative cardiac autonomic nervous activity is associated with a diminished FC (<7METs=metabolic equivalents) in senile patients.
Authors:
Junlong Zhang; Dong Hua; Dongqin Deng; Dong Meng; Yan Zhang; Janqiang Dai; Weifeng Tu
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Publication Detail:
Type:  Journal Article     Date:  2010-08-03
Journal Detail:
Title:  Archives of gerontology and geriatrics     Volume:  53     ISSN:  1872-6976     ISO Abbreviation:  Arch Gerontol Geriatr     Publication Date:    2011 Jul-Aug
Date Detail:
Created Date:  2011-06-09     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8214379     Medline TA:  Arch Gerontol Geriatr     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  95-9     Citation Subset:  IM    
Copyright Information:
Copyright © 2010 Elsevier Ireland Ltd. All rights reserved.
Affiliation:
Department of Anesthesiology, Wuxi No. 4 People's Hospital, the Fourth Affiliated Hospital of Soochow University, Wuxi 214062, People's Republic of China.
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