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Comparison of effects of Sitting-up using Rope Ladder versus Manual Supported Sitting-up on Haemodynamic Variables in Patients after Coronary Artery Bypass Grafting


Affiliations
1 Dr.R.M.L Hospital, New Delhi, India
2 Faculty of Rehabilitation Science, Jamia Hamdard, New Delhi, India
3 Department of CTVS, G.B.Pant Hospital, New Delhi, India
     

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Objective: To evaluate haemodynamic effects of using rope ladder for sitting-up by patients after Coronary Artery Bypass Graft(CABG) surgery.

Background: Rope ladders are provided to patients to sit-up after cardiac surgery. Sitting-up using rope ladder requires a combination of isotonic and isometric efforts. Combined isotonic and isometric activities cause some cardiovascular/hemodynamic alterations.

Method: Study was conducted on 2nd post-operative day. Measurement of Heart Rate (HR), Systolic Blood Pressure(SBP), Diastolic Blood Pressure(DBP), Rate Pressure Product(RPP) and Post-operative pain were obtained for all subjects in supine, immediately on sitting-up, after 5 minutes and 10 minutes of sitting with either using rope ladder or manual support.

Results: Sitting-up using rope ladder immediately resulted in an increase in DBP, HR and Postoperative pain scores and decrease in SBP and RPP. The significance level was set at p< 0.05.

Conclusion: Sitting-up using rope ladder results in slightly greater alterations in hemodynamic variables.


Keywords

Isometric, Isotonic, Haemodynamics, Coronary Artery Bypass Grafting
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  • Comparison of effects of Sitting-up using Rope Ladder versus Manual Supported Sitting-up on Haemodynamic Variables in Patients after Coronary Artery Bypass Grafting

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Authors

Deepti Garnawat
Dr.R.M.L Hospital, New Delhi, India
Faizan Ahmed
Faculty of Rehabilitation Science, Jamia Hamdard, New Delhi, India
Muhammed Abid Geelani
Department of CTVS, G.B.Pant Hospital, New Delhi, India

Abstract


Objective: To evaluate haemodynamic effects of using rope ladder for sitting-up by patients after Coronary Artery Bypass Graft(CABG) surgery.

Background: Rope ladders are provided to patients to sit-up after cardiac surgery. Sitting-up using rope ladder requires a combination of isotonic and isometric efforts. Combined isotonic and isometric activities cause some cardiovascular/hemodynamic alterations.

Method: Study was conducted on 2nd post-operative day. Measurement of Heart Rate (HR), Systolic Blood Pressure(SBP), Diastolic Blood Pressure(DBP), Rate Pressure Product(RPP) and Post-operative pain were obtained for all subjects in supine, immediately on sitting-up, after 5 minutes and 10 minutes of sitting with either using rope ladder or manual support.

Results: Sitting-up using rope ladder immediately resulted in an increase in DBP, HR and Postoperative pain scores and decrease in SBP and RPP. The significance level was set at p< 0.05.

Conclusion: Sitting-up using rope ladder results in slightly greater alterations in hemodynamic variables.


Keywords


Isometric, Isotonic, Haemodynamics, Coronary Artery Bypass Grafting

References