PSI - Issue 40

Available online at www.sciencedirect.com Available online at www.sciencedirect.com ScienceDirect Structural Integrity Procedia 00 (2022) 000 – 000 Available online at www.sciencedirect.com ScienceDirect Structural Integrity Procedia 00 (2022) 000 – 000

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ScienceDirect

Procedia Structural Integrity 40 (2022) 296–306

© 2022 The Authors. Published by Elsevier B.V. This is an open access article under the CC BY-NC-ND license (https://creativecommons.org/licenses/by-nc-nd/4.0) Peer-review under responsibility of the scientific committee of the15th International Conference on Mechanics, Resources and Diagnostics of Materials and Structures. At each stage of the operation, a characteristic pattern of violation of the HRV wave structure was observed on the rhythm cardiogram (ECG). Most of the arrhythmias on the ECG were associated with the surgeon's manipulations during CABG. The RCG method with high resolution showed minimal pathological changes in HRV. A standard assessment of the cardiovascular system was performed, 123 patients were evaluated by RCG using HRV analysis. Before, during (in monitor mode), and after the operation, the original hardware and software computer complex was applied. Thus, the high-resolution RCG method can be used to diagnose the cardiovascular status in real time during CABG surgery. © 2022 The Authors. Published by ELSEVIER B.V. This is an open access article under the CC BY-NC-ND license (https://creativecommons.org/licenses/by-nc-nd/4.0) Peer-review under responsibility of the scientific committee of the15th International Conference on Mechanics, Resource and Diagnostics of Materials and Structures. Keywords: rhythmocardiography, heart rate variability, coronary artery bypass graft surgery. Abstract Clinical approbation of high-resolution rhythmocardiography (RCG) and analysis of heart rate variability (HRV) were performed to assess the card vascular status in real time before, during, and after coronary artery bypass g aft surgery (CABG) f r myocardial evascularization in patients (pts) with unstable gina. At each stage of the operation, a charac eris ic patter of violat on of the HRV wave structure was observed on the rhythm cardiogram (ECG). M st of the rrhythmias on the ECG were ss ciated with the surgeon's manipulations during CABG. The RCG method with high resolution showed mi imal pathological chang s in HRV. A standard ssessment of the cardiovascular system was performed, 123 patie ts wer evaluated by RCG using HRV analysis. Before, during (in monitor mode), and after the operation, the original hardw re and software computer complex was applied. Thus, the high- esolution RCG method can be used to diagnos the cardiovascular status in real time during CABG surgery. © 2022 T e Auth rs. Published by ELSEVIER B.V. This is an open access article under the CC BY-NC-ND license (https://creativecommons.org/licenses/by-nc-nd/4.0) Peer-review u der re ponsibility of scientific committe of the15th Int rnational C nference o Mechanics, Resource and Diagnostics of Materials and Structures. Keywords: rhythmocardiogr phy, heart rat variability, coronary artery bypass graft surgery. 15th International Conference on Mechanics, Resource and Diagnostics of Materials and Structures High-resolution rhythmocardiography and heart rate variability research in coronary artery bypass graft surgery V. Mironov a, *, T. Mironova b , A. Popov a , A. Akimova a , V. Gagiev c , and E. Kuvatova d a Urals State Medical University of the Ministry of Healthcare of the Russian Federation, 3 Repina St., Ekaterinburg, 620028, Russia b Ekaterinburg Medical Research Center for Prophylaxis and Health Protection in Industrial Workers, Federal Service for Surveillance on Consumer Rights Protection and Human Wellbeing (Rospotrebnadzor), 30 Popova St., Ekaterinburg, 620014, Russia c The 5th Military Clinical Hospital of the National Guard of the Russian Federation, 10 Soboleva St., Ekaterinburg, 620036, Russian Federation d Chelyabinsk Federal Center for Cardiovascular Surgery of the Ministry of Health. 2 Geroya Rossii Evgeniya Rodionova Ave., Chelyabinsk, 454003, Russian Federation 15th International Conference on Mechanics, Resource and Diagnostics of Materials and Stru tures High-resolution rhythmocardiography and heart rate variability research in coronary artery bypass graft surgery V. Mironov a, *, T. Mironova b , A. Popov a , A. Akimova a , V. Gagiev c , and E. Kuvatova d a Urals State Medical University of the Ministry of Healthcare of the Russian Federation, 3 Repina St., Ekaterinburg, 620028, Russia b Ekaterinburg Medical Research Center for Prophylaxis and H alth Protect o in Industrial Workers, Federal Service for Surveillance on Consumer Rights Protection and Human Wellbeing (Rospot ebnadzor), 30 Popova St., Ekaterinburg, 620014, Russia c The 5th Military Clinical Hospital of he National Guard of the Russian F derati n, 10 Soboleva St., Ekaterinburg, 62 036, Ru sian Federation d Chelyabinsk Federal Center for Cardiov scul r S rgery of the Ministry of Health. 2 Ger ya Rossii Evg niya Rodionova Ave., Chelyabinsk, 454003, Rus ian Fed ra ion Abstract Clinical approbation of high-resolution rhythmocardiography (RCG) and analysis of heart rate variability (HRV) were performed to assess the cardiovascular status in real time before, during, and after coronary artery bypass graft surgery (CABG) performed for myocardial revascularization in patients (pts) with unstable angina.

* Corresponding author. Tel.: +7-909-015-0211. E-mail address: vamironov2013@yandex.ru * Corresponding author. Tel.: +7-909-015-0211. E-mail ad ress: vamironov2013@yandex.ru

2452-3216 © 2022 The Authors. Published by ELSEVIER B.V. This is an open access article under the CC BY-NC-ND license (https://creativecommons.org/licenses/by-nc-nd/4.0) Peer-review under responsibility of the scientific committee of the15th International Conference on Mechanics, Resource and Diagnostics of Materials and Structures. 2452-3216 © 2022 The Authors. Published by ELSEVIER B.V. This is an open access article under the CC BY-NC-ND license (https://creativecommons.org/licenses/by-nc-nd/4.0) Peer-review u der re ponsibility of scientific committe of the15th Int rnational C ference o Mechanics, Resource and Diagnostics of Mate ials and Structures.

2452-3216 © 2022 The Authors. Published by Elsevier B.V. This is an open access article under the CC BY-NC-ND license (https://creativecommons.org/licenses/by-nc-nd/4.0) Peer-review under responsibility of the scientific committee of the15th International Conference on Mechanics, Resources and Diagnostics

of Materials and Structures. 10.1016/j.prostr.2022.04.039

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