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Ann Thorac Surg. 2015 Nov;100(5):1954-62. doi: 10.1016/j.athoracsur.2015.06.085. Epub 2015 Sep 26.

Heart Rate Recovery as a Preoperative Test of Perioperative Complication Risk.

Author information

1
Pulmonary and Critical Care Medicine Division, University of California, San Diego, La Jolla, California. Electronic address: d5ha@ucsd.edu.
2
VA San Diego Healthcare System, San Diego, California; Pulmonary and Critical Care Medicine Division, University of California, San Diego, La Jolla, California.
3
Pulmonary and Critical Care Medicine Division, University of California, San Diego, La Jolla, California.
4
Respiratory Institute, Cleveland Clinic, Cleveland, Ohio.

Abstract

The autonomic nervous system plays important physiologic roles in a variety of organ systems. Autonomic dysfunction has been shown to be predictive of increased mortality in patients with cardiovascular disease. Its importance in patients with chronic respiratory disorders has been described in recent years. Here, we summarize the prognostic value of autonomic dysfunction, as reflected by impaired heart rate recovery (HRR), in patients with chronic respiratory disorders, including chronic obstructive pulmonary disease, interstitial lung disease, and lung cancer. We suggest that HRR may be clinically useful in the preoperative physiologic evaluation, specifically in lung cancer patients being considered for surgery.

[Indexed for MEDLINE]

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