Reduction of heart rate variability after colorectal resections
Background Heart rate variability (HRV) is a sensitive marker of altered sympathetic–parasympathetic function and is reduced in inflammation, illness, and trauma. The effect of major abdominal surgery on the course of HRV parameters is still an issue requiring further investigation. Materials and me...
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| Veröffentlicht in: | Langenbeck's archives of surgery 2012-06, Vol.397 (5), p.793-799 |
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| container_title | Langenbeck's archives of surgery |
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| creator | Haase, O. Langelotz, C. Scharfenberg, M. Schwenk, W. Tsilimparis, N. |
| description | Background
Heart rate variability (HRV) is a sensitive marker of altered sympathetic–parasympathetic function and is reduced in inflammation, illness, and trauma. The effect of major abdominal surgery on the course of HRV parameters is still an issue requiring further investigation.
Materials and methods
A prospective, observational study including 40 consecutive patients undergoing elective colorectal surgery under “fast-track” perioperative management. Time and frequency domain parameters of HRV were measured 1 day prior to operation and on days 1–5 postoperatively. General and surgical complications as well as the course of leucocytes and C-reactive protein (CRP) were documented and correlated to the HRV measurements.
Results
Time domain parameters of HRV showed a significant decrease compared to the preoperative values on postoperative day 1 and returned to baseline on day 2, demonstrating impaired autonomic regulation in the early postoperative period. No correlation to complications or course of leukocytes or CRP was significant in our study.
Conclusions
Colorectal resections significantly influence the HRV course. The autonomic regulation is reduced in the early postoperative time and all parameters return to baseline until the third day. |
| doi_str_mv | 10.1007/s00423-012-0903-2 |
| format | Article |
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Heart rate variability (HRV) is a sensitive marker of altered sympathetic–parasympathetic function and is reduced in inflammation, illness, and trauma. The effect of major abdominal surgery on the course of HRV parameters is still an issue requiring further investigation.
Materials and methods
A prospective, observational study including 40 consecutive patients undergoing elective colorectal surgery under “fast-track” perioperative management. Time and frequency domain parameters of HRV were measured 1 day prior to operation and on days 1–5 postoperatively. General and surgical complications as well as the course of leucocytes and C-reactive protein (CRP) were documented and correlated to the HRV measurements.
Results
Time domain parameters of HRV showed a significant decrease compared to the preoperative values on postoperative day 1 and returned to baseline on day 2, demonstrating impaired autonomic regulation in the early postoperative period. No correlation to complications or course of leukocytes or CRP was significant in our study.
Conclusions
Colorectal resections significantly influence the HRV course. The autonomic regulation is reduced in the early postoperative time and all parameters return to baseline until the third day.</description><identifier>ISSN: 1435-2443</identifier><identifier>EISSN: 1435-2451</identifier><identifier>DOI: 10.1007/s00423-012-0903-2</identifier><identifier>PMID: 22249435</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer-Verlag</publisher><subject>Abdominal Surgery ; Adult ; Aged ; Aged, 80 and over ; Arrhythmias, Cardiac - diagnosis ; Arrhythmias, Cardiac - etiology ; Autonomic Nervous System - physiology ; Bradycardia - diagnosis ; Bradycardia - etiology ; Cardiac Surgery ; Cohort Studies ; Colectomy - adverse effects ; Colectomy - methods ; Colorectal Neoplasms - pathology ; Colorectal Neoplasms - surgery ; Elective Surgical Procedures - adverse effects ; Elective Surgical Procedures - methods ; Electrocardiography ; Female ; General Surgery ; Heart Rate - physiology ; Humans ; Male ; Medicine ; Medicine & Public Health ; Middle Aged ; Original Article ; Postoperative Period ; Predictive Value of Tests ; Preoperative Care - methods ; Prognosis ; Prospective Studies ; Statistics, Nonparametric ; Thoracic Surgery ; Traumatic Surgery ; Treatment Outcome ; Vascular Surgery</subject><ispartof>Langenbeck's archives of surgery, 2012-06, Vol.397 (5), p.793-799</ispartof><rights>Springer-Verlag 2012</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c344t-d8c6cbb22dbaaaa5c6d2d415413dac4eac93f43392ba5292c3d07782e4cf949e3</citedby><cites>FETCH-LOGICAL-c344t-d8c6cbb22dbaaaa5c6d2d415413dac4eac93f43392ba5292c3d07782e4cf949e3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00423-012-0903-2$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00423-012-0903-2$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,27924,27925,41488,42557,51319</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/22249435$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Haase, O.</creatorcontrib><creatorcontrib>Langelotz, C.</creatorcontrib><creatorcontrib>Scharfenberg, M.</creatorcontrib><creatorcontrib>Schwenk, W.</creatorcontrib><creatorcontrib>Tsilimparis, N.</creatorcontrib><title>Reduction of heart rate variability after colorectal resections</title><title>Langenbeck's archives of surgery</title><addtitle>Langenbecks Arch Surg</addtitle><addtitle>Langenbecks Arch Surg</addtitle><description>Background
Heart rate variability (HRV) is a sensitive marker of altered sympathetic–parasympathetic function and is reduced in inflammation, illness, and trauma. The effect of major abdominal surgery on the course of HRV parameters is still an issue requiring further investigation.
Materials and methods
A prospective, observational study including 40 consecutive patients undergoing elective colorectal surgery under “fast-track” perioperative management. Time and frequency domain parameters of HRV were measured 1 day prior to operation and on days 1–5 postoperatively. General and surgical complications as well as the course of leucocytes and C-reactive protein (CRP) were documented and correlated to the HRV measurements.
Results
Time domain parameters of HRV showed a significant decrease compared to the preoperative values on postoperative day 1 and returned to baseline on day 2, demonstrating impaired autonomic regulation in the early postoperative period. No correlation to complications or course of leukocytes or CRP was significant in our study.
Conclusions
Colorectal resections significantly influence the HRV course. The autonomic regulation is reduced in the early postoperative time and all parameters return to baseline until the third day.</description><subject>Abdominal Surgery</subject><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Arrhythmias, Cardiac - diagnosis</subject><subject>Arrhythmias, Cardiac - etiology</subject><subject>Autonomic Nervous System - physiology</subject><subject>Bradycardia - diagnosis</subject><subject>Bradycardia - etiology</subject><subject>Cardiac Surgery</subject><subject>Cohort Studies</subject><subject>Colectomy - adverse effects</subject><subject>Colectomy - methods</subject><subject>Colorectal Neoplasms - pathology</subject><subject>Colorectal Neoplasms - surgery</subject><subject>Elective Surgical Procedures - adverse effects</subject><subject>Elective Surgical Procedures - methods</subject><subject>Electrocardiography</subject><subject>Female</subject><subject>General Surgery</subject><subject>Heart Rate - physiology</subject><subject>Humans</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Original Article</subject><subject>Postoperative Period</subject><subject>Predictive Value of Tests</subject><subject>Preoperative Care - methods</subject><subject>Prognosis</subject><subject>Prospective Studies</subject><subject>Statistics, Nonparametric</subject><subject>Thoracic Surgery</subject><subject>Traumatic Surgery</subject><subject>Treatment Outcome</subject><subject>Vascular Surgery</subject><issn>1435-2443</issn><issn>1435-2451</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2012</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kE1LAzEQhoMoVqs_wIvs0ctqMsl-5CRS_IKCIHoO2WRWt2ybmmSF_ntTt_boXDIwz_tCHkIuGL1mlFY3gVIBPKcMciopz-GAnDDBixxEwQ73u-ATchrCglJaVlIckwkACJmOJ-T2Fe1gYudWmWuzT9Q-Zl5HzL6173TT9V3cZLqN6DPjeufRRN1nHgP-hsIZOWp1H_B8907J-8P92-wpn788Ps_u5rnhQsTc1qY0TQNgG52mMKUFK1ghGLfaCNRG8lZwLqHRBUgw3NKqqgGFaaWQyKfkauxde_c1YIhq2QWDfa9X6IagWJJQiZqWdULZiBrvQvDYqrXvltpvEqS23tToTaWI2npTkDKXu_qhWaLdJ_5EJQBGIKTT6gO9WrjBr9KX_2n9ATL1eKo</recordid><startdate>20120601</startdate><enddate>20120601</enddate><creator>Haase, O.</creator><creator>Langelotz, C.</creator><creator>Scharfenberg, M.</creator><creator>Schwenk, W.</creator><creator>Tsilimparis, N.</creator><general>Springer-Verlag</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20120601</creationdate><title>Reduction of heart rate variability after colorectal resections</title><author>Haase, O. ; Langelotz, C. ; Scharfenberg, M. ; Schwenk, W. ; Tsilimparis, N.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c344t-d8c6cbb22dbaaaa5c6d2d415413dac4eac93f43392ba5292c3d07782e4cf949e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2012</creationdate><topic>Abdominal Surgery</topic><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Arrhythmias, Cardiac - diagnosis</topic><topic>Arrhythmias, Cardiac - etiology</topic><topic>Autonomic Nervous System - physiology</topic><topic>Bradycardia - diagnosis</topic><topic>Bradycardia - etiology</topic><topic>Cardiac Surgery</topic><topic>Cohort Studies</topic><topic>Colectomy - adverse effects</topic><topic>Colectomy - methods</topic><topic>Colorectal Neoplasms - pathology</topic><topic>Colorectal Neoplasms - surgery</topic><topic>Elective Surgical Procedures - adverse effects</topic><topic>Elective Surgical Procedures - methods</topic><topic>Electrocardiography</topic><topic>Female</topic><topic>General Surgery</topic><topic>Heart Rate - physiology</topic><topic>Humans</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Original Article</topic><topic>Postoperative Period</topic><topic>Predictive Value of Tests</topic><topic>Preoperative Care - methods</topic><topic>Prognosis</topic><topic>Prospective Studies</topic><topic>Statistics, Nonparametric</topic><topic>Thoracic Surgery</topic><topic>Traumatic Surgery</topic><topic>Treatment Outcome</topic><topic>Vascular Surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Haase, O.</creatorcontrib><creatorcontrib>Langelotz, C.</creatorcontrib><creatorcontrib>Scharfenberg, M.</creatorcontrib><creatorcontrib>Schwenk, W.</creatorcontrib><creatorcontrib>Tsilimparis, N.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Langenbeck's archives of surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Haase, O.</au><au>Langelotz, C.</au><au>Scharfenberg, M.</au><au>Schwenk, W.</au><au>Tsilimparis, N.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Reduction of heart rate variability after colorectal resections</atitle><jtitle>Langenbeck's archives of surgery</jtitle><stitle>Langenbecks Arch Surg</stitle><addtitle>Langenbecks Arch Surg</addtitle><date>2012-06-01</date><risdate>2012</risdate><volume>397</volume><issue>5</issue><spage>793</spage><epage>799</epage><pages>793-799</pages><issn>1435-2443</issn><eissn>1435-2451</eissn><abstract>Background
Heart rate variability (HRV) is a sensitive marker of altered sympathetic–parasympathetic function and is reduced in inflammation, illness, and trauma. The effect of major abdominal surgery on the course of HRV parameters is still an issue requiring further investigation.
Materials and methods
A prospective, observational study including 40 consecutive patients undergoing elective colorectal surgery under “fast-track” perioperative management. Time and frequency domain parameters of HRV were measured 1 day prior to operation and on days 1–5 postoperatively. General and surgical complications as well as the course of leucocytes and C-reactive protein (CRP) were documented and correlated to the HRV measurements.
Results
Time domain parameters of HRV showed a significant decrease compared to the preoperative values on postoperative day 1 and returned to baseline on day 2, demonstrating impaired autonomic regulation in the early postoperative period. No correlation to complications or course of leukocytes or CRP was significant in our study.
Conclusions
Colorectal resections significantly influence the HRV course. The autonomic regulation is reduced in the early postoperative time and all parameters return to baseline until the third day.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer-Verlag</pub><pmid>22249435</pmid><doi>10.1007/s00423-012-0903-2</doi><tpages>7</tpages></addata></record> |
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| source | MEDLINE; SpringerNature Journals |
| subjects | Abdominal Surgery Adult Aged Aged, 80 and over Arrhythmias, Cardiac - diagnosis Arrhythmias, Cardiac - etiology Autonomic Nervous System - physiology Bradycardia - diagnosis Bradycardia - etiology Cardiac Surgery Cohort Studies Colectomy - adverse effects Colectomy - methods Colorectal Neoplasms - pathology Colorectal Neoplasms - surgery Elective Surgical Procedures - adverse effects Elective Surgical Procedures - methods Electrocardiography Female General Surgery Heart Rate - physiology Humans Male Medicine Medicine & Public Health Middle Aged Original Article Postoperative Period Predictive Value of Tests Preoperative Care - methods Prognosis Prospective Studies Statistics, Nonparametric Thoracic Surgery Traumatic Surgery Treatment Outcome Vascular Surgery |
| title | Reduction of heart rate variability after colorectal resections |
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