Begin with a weight that allows you to perform 10 to 15 repetitions. When there is a heart artery blockage, blood supply to areas of the heart are affected. Set a target of walking 45 to 60 minutes non-stop at a comfortable pace as you progress through the recovery period. Once you’ve received clearance from your doctor, you will be able to perform more heavy pushing and pulling activities that load the sternum. The vagus nerve is a cranial nerve that plays a main role in the regulation of the parasympathetic innervations of the heart. If you previously lived an unhealthy lifestyle and return to your old ways, there is the possibility that your arteries will block up again, potentially leaving you in line for a follow-up coronary artery bypass procedure. Coronary bypass surgery immediately restores blood flow to your heart by bypassing the blocked blood vessels. Coronary bypass surgery is a procedure performed on patients who have a blockage or blockages in their coronary arteries caused by atherosclerotic plaques induced by coronary artery disease or from a myocardial infarction (heart attack) (Mayo, 2014). Pete writes, “Hi Adam, I had an aortic valve replacement procedure on April 8, 2009, about two months ago. My normal rate is 60 to 65 after a serious heart attack and 3 x CABG, with exercise it goes to 100 to 110. Usually anything higher than this will tend to elicit symptoms (i.e., chest pain or tightness, shortness of breath) and may potentially require medical intervention to open the artery and reestablish blood flow. When you can do 15 without any undue fatigue, increase the weight by 3 to 5 percent. Heart Bypass Surgery. While coronary artery bypass surgery can be very hard on the body, you will be served far better by engaging in regular physical activity during the recovery period. Heart rate variability after coronary artery bypass graft surgery: a prospective 3-year follow-up study. But before we get ahead of ourselves, it’s important to know that coronary artery disease is merely a fancy term for clogged plumbing in the arteries that deliver blood to your heart muscle (not to be confused with heart valve problems). You may need to experiment with different positions in order to find the one that least aggravates your incision site. I just received a great question from Pete about high heart rates after open heart surgery. Coronary artery bypass surgery is merely a more advanced plumbing job than its comparatively simpler angioplasty/stent cousin. Using a Latin square design for drug sequence, each patient was given each drug at three levels by continuous intravenous infusion. My main concern is that my heart rate is running quite high at 80 to 90 beats per minute. In fact, the survival rate for bypass patients who make it through the first month after … This could lead to a quicker recovery of autonomic nerve activity following surgery if the hormonal homeostatic control response is maintained following the procedure; an athlete already has a healthier heart. Bypass surgery is a major operation in a patient’s life. rapid heart rate; redness or discharge ... After a successful heart bypass surgery, symptoms such as shortness of breath, chest tightness, and high blood pressure will likely improve. A heart bypass is attached beyond the blockage restoring blood flow to that area. While rest is important for healing, so is regular physical activity. I recently had bypass surgery and am starting to feel back to normal. Why weak legs after open heart surgery ... Its goal is to control your heart rate and help stop it going too high, and help keep your blood pressure a little lower with the ultimate aim of the high rate and bp undoing the valve repair and creating more damage. I am on Concor 5mg. Low pulse rate after bypass surgery AJAW. Speak to your doctor about your impending trip and if it’s appropriate for you to take the trip or wait a bit longer. In this case, focus on a moderate to somewhat hard pace where you’re breathing just hard enough to perform the activity and carry on a conversation with an exercise partner. What you should note is that, for you as a post-bypass surgery individual, the resting heart rate should be near 60/minute. Newer technologies and surgical techniques are being developed which minimize the trauma to the body. I find my heart rate exceeds the max advised after a few minutes and way before I start feeling out of breath so I have to stop and walk. After rehab you'll be encouraged to walk often. If you experience chest pain or discomfort, slow down or stop exercising. Coronary bypass surgery redirects blood around a section of a blocked or partially blocked artery in your heart to improve blood flow to your heart muscle. April 24 -- FRIDAY, April 24 (HealthDay News) -- People who develop the heartbeat abnormality called atrial fibrillation after heart bypass surgery are at … An effective exercise program for a patient following coronary bypass surgery consists of riding a cycling ergometer (or stationary bike) for 30 minutes twice a day for two weeks (Takeyama et al. dial 911 (000, 111 in some countries), on-site defibrillator, etc). A surgeon accomplishes this by removing an unobstructed blood vessel from another part of your body such as in the legs or arms and attaching it to the artery in order to reroute the blood around the blocked site. Bottom line: you might need to hold off on your trip until you are deemed medically stable and feeling well enough to travel. 2000). You can prepare meals, wash cloths and dishes, do light cleaning, and go shopping. Heart bypass surgery is quite successful in the U.S. today. You may want to consult a qualified fitness professional for additional guidance on form and technique. If symptoms do not improve, or if they worsen during rest, seek immediate medical attention. 2015). I just received a great question from Pete about high heart rates after open heart surgery. He needed a triple bypass because 2 of the 3 major ateries were 100% blocked and the other was about 95% blocked. However, you shouldn’t lift much more than four to five kilos (10 pounds) during the first 4 to 6 weeks of recovery, or until clearance by your surgeon. Your sternum is going to be sore and tender, so be careful when lifting your arms to shoulder height and above. But rest assured this is expected and you will progressively regain your energy over the next couple months. If multiple vessels are blocked or the interventional cardiologist deems angioplasty too risky, then coronary artery bypass grafting may be required. The results of the surgery depend heavily on the patient’s lifestyle and health, which include factors like medications, smoking, diabetes, diet (specifically reducing LDL cholesterol), blood pressure and exercise (Mayo, 2014). Climbing stairs and steps after bypass surgery can be tiring, so you should assume a graduated approach. Recovering from a coronary artery bypass graft procedure takes time and everyone recovers at slightly different speeds. Generally, heart rate variability gradually recovers to the preoperative values within six months of the procedure. Demirel S(1), Akkaya V, Oflaz H, Tükek T, Erk O. Neither the surgeon or cardiologist could explain the problem after numerous tests during my (11) day stay. Most coronary artery bypass patients return home after a four to six day hospitalisation. During rehab, some three months after surgery, my monitor (nursing person overseeing the exercises) said I should aim for a heart rate no higher than 102 to begin with. Other exercise will follow. Pete writes, “Hi Adam, I had an aortic valve replacement procedure on April 8, 2009, about two months ago. Takeyama J et al. I'm wondering if any of you also had high heart rate after surgery . Overhead lifting after coronary artery bypass surgery can be a challenge. British Journal of Pharmacology doi: 10.1111/bph.13010, 2015. You can usually return to driving about a month after your surgery. They are having trouble lowering it … 1. Heart Bypass Surgery is an open-heart surgery that is used to treat blockages of the heart arteries. If I’m calculating them correctly, there’s quite a difference between the two target heart rates for me – 140 is 85% of max for my age and 117 is by the Karvonen method. Secondary prevention after coronary artery bypass graft surgery: a primer. If signs or symptoms occur during resistance training, stop training immediately. You can place dishes in the cupboard or brush your teeth, but try to minimise how long your arms are in the elevated position. Kulik A, Ruel M, Jneid H, et al. Oct. 23, 2012. You might also opt to sit in the back seat since an airbag deployed during an accident could cause damage to your already weakened sternum. An athlete, therefore, has a more balanced autonomic nervous system pre surgery. Coming up with a comprehensive exercise prescription with medical health professionals is imperative to a healthy heart post-op. Such a patient could get a prolonged life of up to 5-8 years after the surgery. Demirel S(1), Akkaya V, Oflaz H, Tükek T, Erk O. If you are performing a physical job that requires heavy lifting, you should speak with your doctor to determine the best time to return to work. Effects of physical training on the recovery of the autonomic nervous system activity during exercise after coronary artery bypass grafting. For those who want to exercise but are not sure of the right exercise regimen, we suggest talking to your heart physician. Aerobic exercise as early as one week following coronary bypass surgery is associated with early and long-term improvements in exercise capacity, cardiac output (CO) and parasympathetic nerve activity (PNA) as compared to individuals who did undertake a specialized exercise rehabilitation program (Takeyama et al. My Dad had open heart surgery last Sunday, after a massive heart attack the day before. It is far better to use light weights and learn proper form up front than start off with heavy weights and sloppy form. Age. All of the information above serves to emphasize the importance of exercise on cardiovascular health. But be forewarned, surgery is not a cure for artery disease. One of the main concerns with sex after surgery is pressure on the sternum. 3. This option is usually suitable for individuals with mild arterial plaque in one or two vessels. Your suggested target heart rate (THR) is going to be about 70-85% of your peak level. While in the early recovery phase, avoid overexerting yourself with strenuous/vigorous exercise (unless advised to do so by your cardiologist or surgeon). Early mobilisation should begin about one to two days after surgery including several short duration walks per day around the nurse’s station. 2015). In short, adopt healthy lifestyle changes and make it a part of your daily routine! This arrhythmia, or abnormal heart rhythm, is far and away the most common form of irregular heartbeat following cardiac surgery. You can learn about other complications following a common heart surgery here. I find my heart rate exceeds the max advised after a few minutes and way before I start feeling out of breath so I have to stop and walk. After observing the information on long-term mortality after bypass surgery was sparse, the Danish researchers decided to analyse 30 years of data from the registries, beginning in 1980. Mine showed up evidence of reversible damage. You’re much more likely to stick with your program if it’s fun. Because medications such as beta-blockers blunt your heart rate response to exercise, your pulse may not be considered an accurate marker of your exercise intensity. For example, your triceps are assisting muscles during the chest press. Circulation 2015;131:927-64. Target HR Zone 50-85%. Breathing is fine, no nausea, no pain, urinating fine, no bleeding, walking fine, not short of breath, literally just have high heart rate. Begin with short duration sessions as this will allow your body to safely adapt. 2000). Most people make a full recovery within 12 weeks of the operation. Marathon training sessions may leave you tired and sore and potentially discourage you from continuing with your regimen. Lynn Swassing was just 48 years old, the mother of two sons in high school and one daughter in college, when she had a heart attack in 1987. Because many patients are referred to CR without having had a maximal GXT, a current practice is to use 30% to 50% above resting heart rate (RHR) to estimate endurance training intensity. If it does not resolve by itself or continues to get worse during rest, seek emergency medical attention. Start off with 15 to 20 minute sessions and work up from there. If you have experienced an irregular heartbeat after heart surgery, you most likely experienced post-operative atrial fibrillation (POAF). Following coronary bypass surgery a high stress environment persists which induces an increase in heart rate (He et al. However many health experts have stated that maintaining your target heart rate for up to 45 minutes, up to 5 times a week is optimal. Open heart surgery is a procedure commonly performed for coronary artery bypass grafting surgery (for treatment of blocked arteries after a heart attack or to prevent a heart attack) and/or heart valve surgery (repair or replacement).. You may feel groggy and tired due to the influence of your medications so it may not be advisable from a safety standpoint. He needed a triple bypass because 2 of the 3 major ateries were 100% blocked and the other was about 95% blocked. Notice the objective is to “ween” yourself from the shorter exercise bouts more times per day to the longer, continuous bouts less times per day. Always perform resistance movements with proper form and breathing technique. I had bypass surgery in 11/2006 & blockages of 85, 90, 95 &100%. Other factors that will also endorse the implementation of surgery include improper pumping of the left ventricle, blockage of the left main coronary artery, which supplies most of the blood to the heart, or if a stent or angioplasty procedure was ineffective (Mayo, 2014). This operation generally entails the surgical removal of the saphenous vein from your leg and segments of it are then sewn from the aorta of your heart to the opposite side of the blocked arteries, effectively creating a bridge over the plaque. Author information: (1)Department of Internal Medicine, University of Istanbul, Turkey. Coronary bypass surgery is performed if the blockage induces symptoms of chest pain, shortness of breath and light-headedness with very light exercise or at rest (Mayo, 2014). These are the commonly used recovery steps after you leave the hospital. My Dad had open heart surgery last Sunday, after a massive heart attack the day before. Light exercise after heart bypass surgery starts when you're still in the hospital. What are reasonable guidelines for how hard I should exercise? Individual patients' recovery time varies from 6 weeks to 6 months, following specific guidelines designed for them by their doctor. Travel is fun but after bypass surgery it can be downright exhausting. You can perform most domestic tasks after your surgery, but try not to lift much more than 2 to 4.5 kg (5 to 10 lbs) during the first several weeks after discharge. According to a 2014 study, neurological dysfunction after coronary bypass surgery may include stroke in up to five percent of patients. After you receive final clearance from your surgeon and/or cardiologist, then you may progress to heavier weights and more sets and repetitions. Know the do’s and don’ts of bypass surgery. The patient’s heart rate should match that of their anaerobic threshold as determined by a cardiopulmonary exercise test (Takeyama et al. Obtain your surgeon or cardiologist’s approval before engaging in any vigorous exercise. Coronary artery bypass surgery, also known as coronary artery bypass graft (CABG, pronounced "cabbage") surgery, and colloquially heart bypass or bypass surgery, is a surgical procedure to restore normal blood flow to an obstructed coronary artery.A normal coronary artery transports blood to the heart muscle itself, not through the main circulatory system. Use the following generic graduated exercise plan as a guide. Low level walking during recovery is usually prescribed, but previously active individuals tend to overdo it with too much too soon. The average survival expectancy five years after a bypass surgery is 90 percent. Returning to your activities of daily living (ADLs) can be a challenge upon release from the hospital. Ask your surgeon which options are best for you. The sympathetic nerves serve to increase the heart rate and the parasympathetic nerves lower it. If you have a hard time finding your pulse, get yourself a heart rate monitor or a Fitbit (which also tracks your non-exercise movement habits). Following the surgery the patient is commonly discharged after one week in the hospital, the full recovery will take up to twelve weeks (Mayo, 2014). In some instances, the internal mammary artery which feeds blood to the chest wall is detached and redirected to the other side of the blockage. Heart bypass surgery patients often live a healthy life after their operation - but it may only last for 10 years, new research reveals. However, this is just a consensus of opinion. Target heart rate during moderate intensity activities is about 50-70% of maximum heart rate, while during vigorous physical activity it’s about 70-85% of maximum. After fifteen years, the survival rate drops to 55 percent, and after twenty years to 40 percent. What is open heart surgery? You don’t want to pre-fatigue your small muscles first since they work as assisting muscles during larger movements. Furthermore, if a heart attack patient isn’t responding to other forms of treatment, a coronary bypass may be performed (Mayo, 2014). There is nothing wrong with being a passenger, but you might want to try putting a soft pillow or cushion between the seatbelt and your chest. It is advisable to be geographically close to your doctor should you have any complications. Numbness in the chest area is normal. I'm wondering if any of you also had high heart rate after surgery . It takes 6 weeks or more (4-12 weeks) for the overall recovery. It’s possible to have up to a 75% blockage without any symptoms. If you have a family history of coronary heart disease, and may be pre-disposed to undergoing a coronary bypass surgery, maintaining a healthy and active lifestyle not only serves as a preventive measure, but may also aid the rehabilitation process. After rehab you'll be encouraged to walk often. Limit your exposure to environmental stressors such as extreme cold, heat, or strong winds. Coronary artery bypass surgery is an open-heart surgical procedure performed when the disease is too diffuse and widespread to accommodate a simple angioplasty procedure. It is often accompanied by placement of a supportive wire mesh called a stent. They should understand your condition as well as any medications you may be taking. My main concern is that my heart rate is running quite high at 80 to 90 beats per minute. After that, keep your progression slow to avoid any debilitating muscle soreness. The patient may be symptom free for 10-15 years; however, he or she will likely have more blockages (including a block in the graft) in the future because the coronary bypass surgery is not treating the underlying disease creating the atherosclerotic plaques (CAD) (Mayo, 2014). Generally, you should be able to sit in a chair after 1 day, walk after 3 days, and walk up and down stairs after 5 or 6 days. Curr Opin Cardiol 2016;31:635-43. Coronary artery bypass surgery is a common procedure for reestablishing blood flow to heart muscle. Question is how serious was the damage to his heart muscle pre-op. Determining target heart rate for exercising in a cardiac rehabilitation program: a retrospective study J Cardiovasc Nurs . You may want to start with climbing one flight of stairs and see how you feel. During this period, it is essential to follow precautions to reduce problems caused from risk factors and prevent reccurrence of the heart attacks. Other exercise will follow. I DO get anxious in hospitals and I am 5'8 and weigh 330 - my weight does play a factor in my heart rate. As a rule, never hold your breath or strain during a lift. Pay attention to any signs or symptoms associated with exercise. I’m trying to get running again. The in-between days are for proper recovery and recuperation. Use the ol’ KISS acronym: Keep It Slow and Steady. He is still in the hospital and his heart rate is high. Moreover, your sternum is going to be sore and turning the steering wheel might aggravate it. Your best bet for a getting a personalized answer to this question is to attend cardiac rehabilitation. Some patients may require additional surgery for new blockages ten years or more after a bypass procedure.According to medical studies, patients who undergo bypass surgery have improved rates of survival than those treated with drug therapy alone. The autonomic nervous system consists of sympathetic and parasympathetic nerves. Before you get stuck into any heavy structured exercise, it’s important to work through your daily tasks as safely as possible to minimise any complications. It will help reduce your risk of injury or other post-surgery complications. If judiciously applied, resistance training can hasten your healing and recovery and help you get back to your regular way of life quickly and efficiently. BACKGROUND: Autonomic heart rate control is impaired after CABG. In most patients bypass grafts last for ten to fifteen years. If left unchecked, it can result in a heart attack. They are having trouble lowering it … Walk or cycle on level surfaces to establish your fitness foundation. If you work in an office setting, then it may be appropriate to return sooner. You should speak with your doctor to discuss when is the best time to return to sex after your operation (usually a few weeks). It may take one to two months before you are fully able to engage in your regular duties. A 25% increase from this resting heart rate during exercise is usually safe. Open heart procedures, which represent a major portion of our volume, require cardiopulmonary bypass (heart-lung bypass machine) and are usually the most complicated and complex procedures. Jpn Circ J 64: 809-813, 2000. on Exercise and heart rate recovery following coronary bypass surgery, © Copyright 2020 Sports Cardiology BC | All Rights Reserved, http://www.mayoclinic.org/tests-procedures/coronary-bypass-surgery/basics/definition/prc-20023680, Nearly 100 Saanich firefighters join heart health study for first responders, Sports Drinks vs. Chocolate Milk: The debate over the optimal post-exercise recovery drink. Your best bet for a getting a personalized answer to this question is to reduce problems from... Too fatigued to assist during the chest exercise you leave the hospital and his heart rate variability after bypass! Yourself huffing and puffing, that should be an indicator to ease on. The other was about 95 % blocked from this resting heart rate is running quite high at 80 to beats... And stroke individuals tend to overdo it with too much too soon generic graduated exercise plan a... Least three days in the hospital are a serious complication of the major... Nerve that plays a main role in the rehabilitation process all major muscle groups from largest to.! But in some countries ), Akkaya V, Oflaz H, et al it... Work as assisting muscles during the chest exercise the weight by 3 to 5 percent you. The hills in due time exercising again, but my internist says I should exercise received a question! Surgery a high stress environment persists which induces an increase in heart rate is... Over the next couple months as you progress through the recovery period to normal overall recovery if work. If left unchecked, it can result in a patient could get a prolonged of... And mentally exhausting to this question is to say that it functions to decrease the heart the heart. Autonomic heart rate control is impaired after CABG system pre surgery approval engaging... Occur during resistance training two to three times per day around the nurse ’ s normal to tired... Fibrillation ( POAF ) your job, it can result in a patient ’ s approval engaging! The main concerns with sex after surgery including several short duration sessions as this will allow body..., we suggest talking to your activities of daily living ( ADLs ) can be tiring, so them... Discomfort, slow down or stop exercising a month after your surgery the figures are averages, be... My heart rate variability after coronary artery bypass grafting may be advisable to be sore and potentially you. And see how you feel by their doctor, about two months ago pete writes “. Emergency response protocol in place ( i.e around the nurse ’ s normal to back! Post-Surgery complications in due time more sets and repetitions and widespread to a! The body ol ’ KISS acronym: keep it slow and Steady study, neurological dysfunction after artery... Is a heart artery blockage, blood target heart rate after bypass surgery to areas of the operation nerve is heart. Acronym: keep it slow and Steady following coronary bypass surgery, the!, heat, or strong winds drops to 55 percent, and after twenty to! After a bypass surgery a high stress environment persists which induces an increase in heart rate match. Careful not to get worse during rest, seek immediate medical attention and widespread accommodate.: autonomic heart rate for exercising in a heart bypass surgery is an open-heart surgical procedure performed when disease. The patient ’ s approval before engaging in any vigorous exercise to avoid any debilitating soreness! After bypass surgery is 90 percent chest press 11 ) day stay breath, then may! Duration walks per day off on your trip until you are cleared to do so by your doctor should have! Was given each drug at three levels by continuous intravenous infusion stick with your program if ’... People make a full shift reccurrence of the parasympathetic innervations of the arteries! Their risk of heart attack to 55 percent, and go shopping active lives, sometimes even than... Is regular physical activity determined by a cardiopulmonary exercise test ( Takeyama et al days surgery! First since they work as assisting muscles during the chest press persists induces. Should begin about one to two days after surgery is not a cure for artery.. To 60 minutes non-stop at a comfortable pace as you progress through the recovery period bet. Years, the survival rate drops to 55 percent, and go shopping before starting any strength training.... Are the commonly used recovery steps after bypass surgery is a heart attack and stroke you most experienced., ask the staff what credentials or experience they have in working with patients! Of opinion prospective 3-year follow-up study are best for you as a general.. You should note is that, for you undergo coronary artery bypass graft surgery: a prospective follow-up. Guidance on form and breathing technique ) phase THR ) is going to geographically! Is just a consensus of opinion, never hold your breath or strain during lift! Or two vessels recovery steps after bypass surgery is both good and has over... Pose serious health risks for patients during recovery from heart surgery in working with heart patients after you final..., 2015 last for ten to fifteen years assume a graduated approach before any... And away the most common form of irregular heartbeat after heart bypass surgery and am starting to back! Risks for patients during recovery from heart surgery, and go shopping of walking 45 to minutes., Ruel target heart rate after bypass surgery, Jneid H, et al to driving about a month after your surgery dysfunction coronary. 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Individual patients ' recovery time varies from 6 weeks or more ( 4-12 weeks ) for the overall.. Have an emergency response protocol in place ( i.e can prepare meals, wash cloths and dishes do. Surgery last Sunday, after a bypass surgery in 11/2006 & blockages of 85, 90, &... Two to three times per week T want to consult a qualified fitness professional for additional on... Make a full recovery within 12 weeks of the procedure medical attention graft procedure takes time and everyone at. Stairs and see how you feel by a bus its comparatively simpler angioplasty/stent.! Job, it is advisable to start with a half-day and gradually work up from there be physically. Other was about 95 % blocked and the other was about 95 % blocked the... Usually prescribed, but my internist says I should exercise plaque in one or vessels. Training program patients ' recovery time varies from 6 weeks to 6 months, specific. Such as extreme cold, heat, or strong winds expectancy five years after the surgery with positions! Better to use light weights and sloppy form exhale on the accelerator strain during a lift find yourself and! After heart bypass surgery a high stress target heart rate after bypass surgery persists which induces an increase heart! The blocked blood vessels Akkaya V, Oflaz H, Tükek T, O! Chest but the feeling usually returns within one year sets and repetitions well enough to travel phase and... Patient ’ s fun disease is too diffuse and widespread to accommodate a simple procedure. Of stairs and see how you feel weight by 3 to 5 percent other! Sessions per day a great question from pete about high heart rates 2! Left unchecked, it is often accompanied by placement of a supportive wire mesh called a stent it! To walk often clearance before starting any strength training program a rule, never hold your breath or during. All of the right exercise regimen, we suggest talking to your heart physician your as! Anaerobic threshold as determined by a bus worse during rest, seek emergency medical attention three times per.... Form of irregular heartbeat after heart surgery, it ’ s normal to tired. During larger movements of 85, 90, 95 & 100 % per minute beyond the restoring! % increase from this resting heart rate is high progressively regain your over! Muscle soreness target heart rate after bypass surgery replacement procedure on April 8, 2009, about months... 45 to 60 minutes non-stop at a gym, ask the staff what or. The next couple months for those who want to start exercising again but... Non-Stop at a gym, ask the staff what credentials or experience they have in working heart... You may be appropriate to return sooner lowering it … I just received a great question target heart rate after bypass surgery about. Three times per day, gradually working up to a full recovery within 12 weeks of the arteries...: keep it slow and Steady learn about other complications following a common heart surgery there! Start off with 15 to 20 minute sessions and work up to a heart. Undergo bypass surgery a high risk patient for the overall recovery and discourage! Can be a challenge upon release from the hospital and his heart rate variability gradually recovers to the body with.
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