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Effect of Cardiac Rehabilitation on Atrial Conductions Following Isolated Coronary Artery Bypass Surgery
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  • Anil Sahin,
  • Omer Tasbulak,
  • Serkan Kahraman,
  • Gokhan Demirci,
  • Hicaz Zencirkiran Agus,
  • Cigdem Altun,
  • Ali Kalkan,
  • Mehmet Ertürk
Anil Sahin
Istinye University
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Omer Tasbulak
Mehmet Akif Ersoy Thoracic and Cardiovascular Research and Education Hospital
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Serkan Kahraman
Mehmet Akif Ersoy Thoracic and Cardiovascular Research and Education Hospital
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Gokhan Demirci
Mehmet Akif Ersoy Thoracic and Cardiovascular Research and Education Hospital
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Hicaz Zencirkiran Agus
Mehmet Akif Ersoy Thoracic and Cardiovascular Research and Education Hospital
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Cigdem Altun
Mehmet Akif Ersoy Thoracic and Cardiovascular Research and Education Hospital
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Ali Kalkan
Istanbul Mehmet Akif Ersoy Training and Research Hospital
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Mehmet Ertürk
Mehmet Akif Ersoy Thoracic and Cardiovascular Research and Education Hospital
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Abstract

Background: Cardiac rehabilitation (CR) is associated with improved clinical outcomes in a broad spectrum of cardiac disease. The beneficial effect of CR has been proven in patients with ischemic heart diseases. Post-operative atrial fibrillation (AF) and atrial arrhythmias are common complications following coronary artery bypass grafting (CABG) surgery. The aim of this study was to evaluate the effect of CR on atrial conductions in patients who underwent isolated CABG surgery. Methods: After the exclusion criterion was applied 545 patients were included in the study, retrospectively. One group (Rehab +) included patients who participated in CR program and the other group (Rehab -) included patients who did not want to or could not be participated in CR program after isolated CABG surgery. ECG parameters of Pmax, Pmin and P wave dispersion (PWD) of both groups were compared. Results: All parameters including heart rate, PR interval, Pmax, Pmin and PWD were significantly changed in rehab (+) group after CABG surgery. There was significant change in rehab (+) group when compared to rehab (-) group in terms of parameters of Pmax (P<0.001), Pmin (P<0.001), P wave dispersion (P<0.001). Conclusion: Our findings referred that CR program significantly improved parameters of atrial conduction including Pmax, Pmin and PWD following isolated CABG surgery. Thereby improvement in atrial conduction by CR program following CABG surgery could reduce atrial arrhythmias.