scholarly journals Physiotherapy following cardiac surgery: Program comparison

2018 ◽  
Vol 40 ◽  
pp. 02012
Author(s):  
D. Pulmane ◽  
A. Vetra ◽  
R. Lacis ◽  
D. Driba
Keyword(s):  
Cardiac Surgery ◽  
Artery Bypass ◽  
Bypass Graft ◽  
Forced Expiratory Volume ◽  
Replacement Surgery ◽  
Respiratory Parameters ◽  
Significant Difference ◽  
Before And After ◽  
The Difference ◽  
Group 2

The objective is to examine and compare the usability of two physiotherapy programmes, analyzing respiratory function in patients before and after cardiac surgery in hospital during seven postoperative days (POD). Quantitative randomized prospective study of 157 patients before and after the valve replacement surgery, coronary artery bypass graft and combined surgeries, who moved independently. Participants were randomized into two groups (1 and 2) with different physiotherapy programmes. The routine physiotherapy of breath-enhancing techniques, micro-circulation improvement were used for the first group, for the second group - modified physiotherapy – the improvement of inspiration muscles, mm. quadriceps. gluteus max strength. Anthropometric measurements were defined for both groups on the day before surgery and during spirography - dynamic indicators - forced vital capacity (FVC), forced expiratory volume in the 2nd second (FEV1), Tiffeneau index (FEV1 / VC (%)), peak expiratory flow (PEF), operation parameters. By comparing the postoperative respiratory parameters between the two groups and using independent samples t test, it was found out that the difference in FVC between groups is 1.71 [95% CI: −8.25 to 4.8] and it is not statistically significant (t (155) = −0.52; p = 0.60). Based on the Leuven test results FVC the distribution variance is not statistically notably different for group 1 and group 2 (F = 0.27, p=0.60). Using routine and modified physiotherapy and comparing postoperative dynamic respiratory performance of the two groups, there was no statistically significant difference, proving that the two models are equally effective.

scholarly journals EPICARDIAL PACING

2010 ◽  
Vol 17 (01) ◽  
pp. 55-58
Author(s):  
ZAHID PARVEZ ◽  
FARID AHMAD CHAUDHARY ◽  
AJMAL HASAN NAZQVI ◽  
Muniza Saeed
Keyword(s):  
Cardiac Surgery ◽  
Artery Bypass ◽  
Left Ventricular ◽  
Right Atrial ◽  
Routine Practice ◽  
Optimum Time ◽  
Pacing Threshold ◽  
Significant Difference ◽  
Group 2 ◽  
The Right

Placement of epicardial wires on the right atrial and right ventricle surfaces is a routine practice in cardiac surgery. These pacingelectrodes are used for invasive pacing of the myocardium for a variety of emergent and elective conditions postoperatively. There is uncertaintyin actual practice about the optimum time for their removal, and practice varies widely between different institutions. Objectives: To determine thetime related efficacy of these pacing electrodes after cardiac surgery, to find out the optimum time of their removal. Period: July 2008 toOctober 2008. Patients & Methods: 47 patients those underwent coronary artery bypass surgery were prospectively enrolled and evaluatedwith standard 12 lead ECG and ventricle pacing threshold immediately after surgery and on the 5t h postoperative day. The patients were dividedinto two subgroups according to their left ventricle ejection fraction ( > 40% verses < 40%). Results: There was significant difference in theeffective pacing threshold in groupl and 2 on immediate post operative period and on day 5. (P = 0.002 and P = 0.02 respectively) The sensingthreshold immediately after operation and on 5t h post operative day also differed significantly (P = 0.009 in group 1 and 0.02 in group 2) Theeffective VVI* pacing was lost in 17 patients (40.5%) on the 5t h post operative day and comparison of effective pacing threshold in the twogroups showed no significant difference during the same period of time (P = NS). "Ventrculo-ventrical inhibition. Conclusions: The epicardialpacing wires have little usefulness after the fifth postoperative day and should be removed by this time. In addition postoperative pacingthreshold was not affected by the decreased left ventricular function.

scholarly journals Lipid Peroxidation Product and Glutathione Levels in Patients with Coronary Heart Disease Before and After Surgery

2015 ◽  
Vol 4 (2) ◽  
pp. 78-82
Author(s):  
Rahman Khansha ◽  
Behnoosh Miladpour ◽  
Zohreh Mostafavi-Pour ◽  
Fatemeh Zal
Keyword(s):  
Oxidative Stress ◽  
Coronary Heart Disease ◽  
Heart Disease ◽  
Ischemia Reperfusion ◽  
Artery Bypass ◽  
Bypass Graft ◽  
Lipid Peroxidation Product ◽  
Cabg Surgery ◽  
Significant Difference ◽  
Before And After

Background: It has been reported that ischemia-reperfusion is associated with augmentation of oxidative stress and its specific and sensitive markers. Oxidative stress may cause atrial fibrillation (AF) which is a common consequence after cardiac surgery. Dietary supplementation with antioxidants might lower the incidence of AF following coronary artery bypass graft (CABG) surgery. Materials and Methods: Fifty patients with coronary heart disease (CHD) referred to Namazi and Faghihi Hospitals in Shiraz, undergone elective CABG, were enrolled in this study. For evaluation of oxidative stress, whole blood was taken before and 24 hours after surgery and malondialdehyde (MDA) as an oxidative marker and glutathione (GSH) as an antioxidant marker were measured. Results: Results showed a significant difference between the mean concentration of GSH before and after CABG surgery (P <0.05); however, the difference in plasma MDA levels before and after CABG was insignificant. Conclusion: CABG surgery results in oxidative stress and reduces GSH 24h after surgery and administration of antioxidants may attenuate post-operative oxidative stress. [GMJ.2015;4(2):78-82]

scholarly journals Effect of Passive Ultrasonic Irrigation over Organic Tissue of Simulated Internal Root Resorption

2021 ◽  
Vol 2021 ◽  
pp. 1-5
Author(s):  
Amjad Abu Hasna ◽  
Jaiane Bandoli Monteiro ◽  
Ricardo Toledo Abreu ◽  
Wanessa Camillo ◽  
Amanda Guedes Nogueira Matuda ◽  
...  
Keyword(s):  
Root Resorption ◽  
Acrylic Resin ◽  
Tissue Mass ◽  
Passive Ultrasonic Irrigation ◽  
Significant Difference ◽  
Before And After ◽  
Ultrasonic Irrigation ◽  
The Difference ◽  
Group 2 ◽  
Organic Tissue

This study aimed to evaluate the efficacy of passive ultrasonic irrigation (PUI) on dissolving the organic tissue inside simulated internal root resorption (IRR) using sodium hypochlorite (NaOCl) or chlorhexidine (CHX). A total of 40 human lower premolars were collected based on dimensional and morphological similarities. The roots were embedded in cylinders (3 cm diameter; 2.5 cm height) of self-cured acrylic resin, and then an IRR was simulated. The specimens were divided into 4 groups (n = 10) according to irrigation protocols: group 1: CHX + PUI; group 2: CHX; group 3: NaOCl + PUI; group 4: NaOCl. The total irrigation time was 150 s at a flow rate of 5 mL/min. A tissue mass of porcine palatine mucosa was used to simulate the organic tissue, it was weighed before and after the irrigation using an analytic balance, and the difference between both readings was calculated and transferred to percentage values. Data were submitted to statistical analysis using two-way ANOVA (factors: irrigant type and with/without PUI) and Tukey’s test for multiple comparisons among the experimental groups (α = 0.05). There was a significant difference in both factors (irrigant: p = 0.04 ; PUI: p ≤ 0.001 ). The groups that used PUI were more effective in dissolving the organic tissue of the IRR simulation than the groups without PUI. PUI is more effective than the syringe and needle irrigation in organic tissue dissolution.

Post-Operative Outcomes of Off-Pump Coronary Artery Bypass Surgery Patients after Topical Use of Tranexamic Acid

2017 ◽  
Vol 2 (2) ◽  
pp. 79-83
Author(s):  
Asraful Hoque ◽  
Asit Baran Adhikary ◽  
KAM Mahbub Hasan ◽  
Romena Rahman ◽  
Mauin Uddin ◽  
...  
Keyword(s):  
Cardiac Surgery ◽  
Tranexamic Acid ◽  
Artery Bypass ◽  
Postoperative Bleeding ◽  
Pericardial Cavity ◽  
Significant Difference ◽  
Opcab Surgery ◽  
Group 2 ◽  
Topical Tranexamic Acid ◽  
Group 1

Background: Postoperative mediastinal bleeding in patients undergoing cardiac surgery is still one of the most common complications. Objective: This study was intended to investigate the efficacy of topical tranexamic acid in reducing postoperative bleeding after OPCAB surgery. Methodology: This non-randomized, double blinded, clinical trial was conducted in the Department of Cardiac Surgery at National Institute of Cardiovascular Diseases (NICVD), Dhaka, Bangladesh during January 2014 to December 2015 for a period of two (2) years. Patients’ undergone CABG after fulfilling the inclusion and exclusion criteria was recruited for this study. They were assigned in two groups 30 patients in tranexamic acid group (Group 1) and 30 patients in placebo group (Group 2). On completion of the grafting, before closure of the sternum tranexamic acid (2.5 g/25 mL) or placebo (25 mL of saline) diluted in 100 mL of warm saline (37° C) was instilled into the pericardial cavity including the mediastinal tissues and left for 5 minutes. Then it was cleared out by wall sucker and sternum was closed. Result: There was no significant difference in baseline demographic data, basic clinical characteristics and preoperative coagulation profile between the 2 groups (P>0.05). Total mediastinal bleeding in group 1 and group 2 patients were 421.67±70.32 vs 593.33±77.38 ml (p<0.001). In case of, whole blood transfusion in group 1 and group 2 patients were 0.87±0.0.73 units and 1.77±0.57 units respectively (p<0.001). No patient required reoperation for bleeding and there was no incidence of prolonged ventilation, MI, thromboembolism, DVT or CVA in any of the patients in either group. Conclusion: In conclusion the efficacy of topical tranexamic acid is helpful for reducing postoperative bleeding after OPCAB surgery. Journal of National Institute of Neurosciences Bangladesh, 2016;2(2): 79-83

Abstract 18855: Outcomes after Coronary Artery Bypass Graft Surgery in Patients Treated with Thoracic Radiotherapy for Cancer

Circulation ◽  
2014 ◽  
Vol 130 (suppl_2) ◽  
Author(s):  
Jackson J Liang ◽  
Terence T Sio ◽  
John M Stulak ◽  
Ryan J Lennon ◽  
Abhiram Prasad ◽  
...  
Keyword(s):  
Coronary Artery ◽  
Artery Bypass ◽  
Bypass Graft ◽  
External Beam Radiation ◽  
Beam Radiation ◽  
Triple Vessel Disease ◽  
Significant Difference ◽  
Group 2 ◽  
Group 1

Introduction: Thoracic external beam radiation therapy (XRT) for cancer is associated with a multitude of long-term cardiotoxic side effects. Previous studies have suggested worse outcomes in XRT-treated cancer survivors who undergo revascularization with CABG, but sample sizes have been small. In addition, XRT after CABG is thought to portend decreased patency and survival. We aimed to examine outcomes after CABG in patients with XRT compared with to those without XRT. Methods: We identified all patients who were treated with both CABG (between 1999 and 2013) and curative thoracic XRT for cancer (between 1971 and 2013) (>30 Gray). Baseline clinical characteristics and comorbidities at time of CABG, as well as long-term outcomes after CABG and XRT were compared with propensity matched control cohorts. Results: A total of 38 patients underwent CABG following XRT [Group 1] (mean age 67.9, 63% female) and 43 patients underwent XRT after CABG [Group 2] (mean age 69.3, 63% female). Compared with propensity-matched controls (Group 1: n=141; Group 2: n=167), baseline clinical and demographic characteristics between cases and controls were similar in both groups, except a lower incidence of triple vessel disease in XRT cases in Group 2 (64 vs 80%, p=0.02). For Group 1, there was no significant difference in all-cause survival in long-term follow-up after CABG (Fig. 1, p=0.72). Meanwhile, Group 2 cases had significantly higher all-cause mortality following XRT (Fig. 2, p<0.001). Conclusions: Patients previously treated with thoracic XRT who subsequently undergo CABG for coronary artery disease have a similar overall mortality rate compared to patients without prior XRT. This suggests that CABG is an effective method of revascularization in these patients. The higher mortality rates in CABG patients who subsequently develop disease requiring thoracic XRT is likely due to oncologic rather than cardiovascular causes, but more data are necessary to evaluate this finding.

Atelectasis and Gas Exchange after Cardiac Surgery 

1998 ◽  
Vol 89 (2) ◽  
pp. 371-378 ◽  
Author(s):  
Arne Tenling ◽  
Thomas Hachenberg ◽  
Hans Tyden ◽  
Goran Wegenius ◽  
Goran Hedenstierna
Keyword(s):  
Computed Tomography ◽  
Cardiac Surgery ◽  
Mitral Valve ◽  
Animal Studies ◽  
Artery Bypass ◽  
Bypass Graft ◽  
Clear Correlation ◽  
Basal Region ◽  
Computed Tomography Scans ◽  
Before And After

Background Sometimes a high intrapulmonary shunt occurs after cardiac surgery, and impairment of lung function and oxygenation can persist for 1 week after operation. Animal studies have shown that postoperative shunt can be explained by atelectasis. In this study the authors tried to determine if atelectasis can explain shunt in patients who have had cardiac surgery. Methods Nine patients having coronary artery bypass graft surgery and nine patients having mitral valve surgery were examined using the multiple inert gas elimination technique before and after operation. On the first postoperative day, computed tomography scans were made at three levels of the thorax. Results Before anesthesia, the average shunt was low (2+/-3%; range, 0-13%), but on the first postoperative day shunt had increased to 12+/-60% (range, 3-28%). The computed tomography scans showed bilateral dependent densities in all patients but one. The mean area of the densities was 8+/-8% (range, 0-37%) of total lung area, corresponding to a calculated fraction of collapsed lung tissue of 20+/-14% (range, 0-59%). In the basal region, the calculated amount of collapsed tissue was 28+/-19% (range, 0-73%). One mitral valve patient was an outlier and had a large shunt both before and after the operation. Conclusions Large atelectasis in the dorsal part of the lungs was found on the first postoperative day after cardiac surgery. However, there was no clear correlation between atelectasis and measured shunt fraction.

scholarly journals THE DIFFERENCE OF SQUAT EXERCISE USING CALF RAISES IN PLYOMETRIC JUMP INTERVENTION TO THE BOX ON EXPLOSIVE POWER LOWER EXTREMITY OF BASKETS EXTRACURRICULAR IN DENPASAR HIGH SCHOOL

2019 ◽  
Vol 7 (2) ◽  
pp. 9
Author(s):  
Wahyu Gunarto ◽  
I Made Niko Winaya ◽  
I Putu Adiartha Griadhi ◽  
Luh Made Indah Sri Handari Adiputra
Keyword(s):  
Design Research ◽  
Test Group ◽  
General Description ◽  
Explosive Power ◽  
Significant Difference ◽  
Squat Exercise ◽  
Before And After ◽  
Post Test ◽  
The Difference ◽  
Group 2

Explosive power can be increased by Plyometric Jump To Box exercises and can be optimized by combining Squat and Calf Raises exercises. The purpose of this study was to find out the general description of Squat, Calf Raises, and Plyometric Jump To Box exercises on the explosive power of the lower extremities. This research method uses a Randomized Pre and Post Test Group Design research design. A total of 22 study samples were divided into 2 treatment groups. Known difference in mean before and after treatment in group 1 was 06.27 ± 3.165 while in group 2 it was 08.09 ± 3.986 with p = 0.25 (p> 0.05) which means there was no significant difference between groups 1 with group 2. So it can be said that squat exercise is as good as Calf Raises exercise on Plyometric Jump To Box Interventions on increasing explosive lower extremity.Keyword: Explosive Power, Plyometric Jump To Box, squat, calf raises.

scholarly journals Combination of omega-3 polyunsaturated fatty acids and statins for the prevention of atrial fibrillation after coronary bypass surgery

2017 ◽  
Vol 95 (9) ◽  
pp. 817-823
Author(s):  
Olesya A. Rubanenko ◽  
O. V. Fatenkov ◽  
S. M. Khokhlunov ◽  
A. P. Semagin ◽  
D. V. Kuznetsov ◽  
...  
Keyword(s):  
Fatty Acids ◽  
Polyunsaturated Fatty Acids ◽  
Leukocyte Count ◽  
Coronary Bypass ◽  
Omega 3 ◽  
Significant Difference ◽  
Before And After ◽  
The Difference ◽  
Group 2 ◽  
Group 1

Aim. To evaluate the influence of combination of omega-3 polyunsaturated fatty acids and atorvastatin on the risk of atrial fibrillation (AF) after coronary bypass surgery (CBS). Material and methods. The study included 114 patients divided into 2 groups, one comprised of 59 ones (75,6% men of mean age 62,0±7,3 yr given conventional medication), the other including 55 patients (80,0% men of mean age 59,4±6,7 yr given omega-3 polyunsaturated fatty acids 5 days before (2 g/d) and during 3 weeks after CBS (1 g/d)). All patients were treated with atorvastatin at the outpatient stage. IL-6,8, 10 and C-reactive protein (CRP), fibrinogen, troponin, NT-proBNP, superoxide dismutase (SOD), and myeloperoxidase were measured at admittance and on day 3.7±1.4 after surgery. Results. AF developed on day 5.9±4.9 (mean) after surgery. Patients of group 2 tended to have fewer new episodes of arrhythmia although no significant difference between the groups was documented (9,1% vs 18,6%, р=0,12). Group 2 included more smokers (74,5% vs 45,8%, р=0,002) and patients with atherosclerosis of lower limb arteries (87,3% vs 71,2%, р=0,03) but fewer those consuming nitrates (39,0% vs 18,2%, р=0,01) and Ca antagonists (45,8% vs 21,8%, р=0,006).Mean dose of atorvastatin given to patients of groups 1 and 2 was 24.7±12.5 and 25.1±10.5 mg/d respectively (р=0,2), duration of its intake 14.6±12.7 and 21.5±19.3 months (р<0,001). There. was no significant difference between leukocyte count, leukogram, IL-8, IL-10, NT-proBNP, and troponin levels before and after CBS. Surgical myocardial revascularization caused a rise in leukocyte count, shifted the leukogram toward predominance of stab and segmented cells, increased IL-8, IL-10, fibrinogen, NT-proBNP, CRP, and troponin levels in both groups. IL-8 and IL-10 levels remained normal before and after surgery. Preoperative IL-6 level in group 1 was significantly higher than in group 2 (21,7±13,0 vs 2.5±2,2 pg/ml, р<0,001). Postoperatively, the difference was absent. The CRP level before surgery was high in both groups (3122.7±2175.8 vs 3670.8±2490.0 U/g) but decreased after CBS although remained higher in group 1 (1957.6±1660.3 vs 1069.8±630.2 U/g, р<0,001). Myeloperoxidase level increased postoperatively in both groups but the difference was insignificant. Fibrinogen and CRP in the postoperative period increased more significantly in group 2 than in group 1 (4,9±1,4 vs 4,4±1,1 g/l, р=0,02 and 8,6±2,2 vs 5,4±2,3 mg/l respectively, р<0,001). Conclusion. The study revealed an insignificant decrease in the number of AF episodes in the early post-CDS period in patients treated with omega-3 polyunsaturated fatty acids and atorvastatin compared with those given the latter medication alone. Also, fibrinogen and CRP levels as markers of inflammation increased while SOD antioxidative activity decreased.

scholarly journals EFEKTIVITAS LAYANAN BIMBINGAN KELOMPOK DALAM MENINGKATKAN ASERTIVITAS SISWA

2018 ◽  
Author(s):  
Firman - Firman
Keyword(s):  
Computer Software ◽  
Control Group ◽  
Significant Difference ◽  
Before And After ◽  
Equivalent Control ◽  
Kolmogorov Smirnov ◽  
Group 3 ◽  
The Difference ◽  
Group 2 ◽  
Group Guidance

Nowadays found some student at SMK N 9 Padang prefer to follow a decision of a friend than follow self decision. This research to reveal; 1) the difference assertiveness students group experiment before and after given group guidance 2) the difference assertiveness students the control group before and after without group guidance 3) the difference assertiveness student group experiment given group guidance with student the control group without given group guidance. This research is a quantitative with approach Quasi Experiment Design in type design the Non Equivalent Control Group. The population research was students of X Tata Boga SMK N 9 Padang and samples in this research chosen using a technique purposive sampling. The instrumen used the Questionare. Data then analyzed using Wilcoxon Signed Ranks Test and Kolmogorov Smirnov Two Independent Samples with program computer software Statistical Product and Service Solution (SPSS) Version 20. Based on the research, this research founds; 1) there are significant difference assertiveness students group experiment before and after given guidance group 2) there is no significant difference assertiveness students the control group before and after without given guidance group 3) there are significant difference assertiveness students the experiment group given guidance group with the control group without given guidance group.

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