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The Effect of Supine and Sitting Recovery Positions on Heart Rate Recovery and Rate Pressure Product Following Six Minute Exercise Test in Patients Undergoing Coronary Artery Bypass Grafting

Jatinder Kaur , Jatinder Kaur , Bhawna Ghai , Parmveer Kaushal , Ravinder Narwal

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Physiotherapy and Occupational Therapy Journal 7(1):p 25-35, January - March 2014. | DOI:

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Abstract

Aim & Objective: Ischemic heart disease is among the most common causes of death and disability in the world. The Indian subcontinent has among the highest rates of cardiovascular disease globally, which is estimated to be six fold higher in the urban areas. This has led to an increase in number of Coronary artery revascularization surgeries. The aim of this study was to determine whether there is any effect of recovery positions on heart rate recovery and myocardial oxygen consumption in patients undergoing CABG following six minute exercise test. Methods: This experimental study was based on the pre operative assessment for inclusion and exclusion criteria, the patients were randomly assigned to the two groups. Two six minute walk tests were performed each on the day before surgery and following CABG on fourth and seventh postoperative day and the dependent variables were measure. Conclusion: The study thus concluded that there is improvement in the heart rate measures and functional capacity following CABG. The heart rate recovery was found to vary with different recovery positions and was better in the supine lying position, when compared to sitting position.

Keywords: Autonomic nervous system; Phase I cardiac rehabilitation; Six minute walk test; Revascularization; Hear rate recovery.

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