Skeletal muscle status, autonomic balance and short-term results of cardiac surgery

Purpose — To study the association between the status of lower extremities’ skeletal muscles and autonomic balance with the short-term results of cardiac surgery patients. Methods — 64 patients (57 men, median age 63 years) who underwent non-urgent cardiac surgery at the Research Institute for Compl...

Full description

Bibliographic Details
Main Authors: Alexey N. Sumin, Pavel A. Oleinik, Andrey V. Bezdenezhnykh
Format: Article
Language:English
Published: Limited liability company «Science and Innovations» (Saratov) 2020-09-01
Series:Russian Open Medical Journal
Subjects:
Online Access:http://www.romj.org/node/328
id doaj-2d14a2db54c344caa90170cfa5d85107
record_format Article
spelling doaj-2d14a2db54c344caa90170cfa5d851072021-10-06T12:15:49ZengLimited liability company «Science and Innovations» (Saratov)Russian Open Medical Journal2304-34152020-09-0193e030610.15275/rusomj.2020.0306Skeletal muscle status, autonomic balance and short-term results of cardiac surgeryAlexey N. SuminPavel A. OleinikAndrey V. BezdenezhnykhPurpose — To study the association between the status of lower extremities’ skeletal muscles and autonomic balance with the short-term results of cardiac surgery patients. Methods — 64 patients (57 men, median age 63 years) who underwent non-urgent cardiac surgery at the Research Institute for Complex Issues of Cardiovascular Diseases clinic from March 2015 to March 2016 were included in the study. Patients with exacerbation of underlying disease were excluded from the study. Additionally, muscle status of the patients was assessed using static-dynamic tests on a multifunctional training apparatus, and the autonomic nervous system (ANS) state was evaluated using the ORTOexpert program during an active orthostatic test. 9 patients developed complications in the postoperative period; groups with the postoperative complications present and absent were compared according to the studied preoperative indicators. Results — The following indicators were revealed more often prior to the surgery in the group with the postoperative complications: cardiac arrhythmias (p=0.023), aortic valve regurgitation (p=0.002), left ventricle aneurysm (p=0.007), carotid stenosis (p=0.036), decreased muscle strength of the upper and lower extremities (p=0.047 and p=0.046), sympathetic activation (LF/HF ratio p=0.028), and ANS stress in response to the test. Conclusion — Low status of skeletal muscles (upper and lower extremities) and ANS sympathetic activation and the overstrain of its adaptive mechanisms were associated with development of postoperative complications after cardiac surgery, along with severity of the underlying cardiac pathology, risk and duration of the surgery.http://www.romj.org/node/328cardiac surgerypostoperative complicationsmuscle statusautonomic status
collection DOAJ
language English
format Article
sources DOAJ
author Alexey N. Sumin
Pavel A. Oleinik
Andrey V. Bezdenezhnykh
spellingShingle Alexey N. Sumin
Pavel A. Oleinik
Andrey V. Bezdenezhnykh
Skeletal muscle status, autonomic balance and short-term results of cardiac surgery
Russian Open Medical Journal
cardiac surgery
postoperative complications
muscle status
autonomic status
author_facet Alexey N. Sumin
Pavel A. Oleinik
Andrey V. Bezdenezhnykh
author_sort Alexey N. Sumin
title Skeletal muscle status, autonomic balance and short-term results of cardiac surgery
title_short Skeletal muscle status, autonomic balance and short-term results of cardiac surgery
title_full Skeletal muscle status, autonomic balance and short-term results of cardiac surgery
title_fullStr Skeletal muscle status, autonomic balance and short-term results of cardiac surgery
title_full_unstemmed Skeletal muscle status, autonomic balance and short-term results of cardiac surgery
title_sort skeletal muscle status, autonomic balance and short-term results of cardiac surgery
publisher Limited liability company «Science and Innovations» (Saratov)
series Russian Open Medical Journal
issn 2304-3415
publishDate 2020-09-01
description Purpose — To study the association between the status of lower extremities’ skeletal muscles and autonomic balance with the short-term results of cardiac surgery patients. Methods — 64 patients (57 men, median age 63 years) who underwent non-urgent cardiac surgery at the Research Institute for Complex Issues of Cardiovascular Diseases clinic from March 2015 to March 2016 were included in the study. Patients with exacerbation of underlying disease were excluded from the study. Additionally, muscle status of the patients was assessed using static-dynamic tests on a multifunctional training apparatus, and the autonomic nervous system (ANS) state was evaluated using the ORTOexpert program during an active orthostatic test. 9 patients developed complications in the postoperative period; groups with the postoperative complications present and absent were compared according to the studied preoperative indicators. Results — The following indicators were revealed more often prior to the surgery in the group with the postoperative complications: cardiac arrhythmias (p=0.023), aortic valve regurgitation (p=0.002), left ventricle aneurysm (p=0.007), carotid stenosis (p=0.036), decreased muscle strength of the upper and lower extremities (p=0.047 and p=0.046), sympathetic activation (LF/HF ratio p=0.028), and ANS stress in response to the test. Conclusion — Low status of skeletal muscles (upper and lower extremities) and ANS sympathetic activation and the overstrain of its adaptive mechanisms were associated with development of postoperative complications after cardiac surgery, along with severity of the underlying cardiac pathology, risk and duration of the surgery.
topic cardiac surgery
postoperative complications
muscle status
autonomic status
url http://www.romj.org/node/328
work_keys_str_mv AT alexeynsumin skeletalmusclestatusautonomicbalanceandshorttermresultsofcardiacsurgery
AT pavelaoleinik skeletalmusclestatusautonomicbalanceandshorttermresultsofcardiacsurgery
AT andreyvbezdenezhnykh skeletalmusclestatusautonomicbalanceandshorttermresultsofcardiacsurgery
_version_ 1716840744218525696