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Outcome of Cardiac Rehabilitation Following Off-Pump Versus On-Pump Coronary Bypass Surgery

Overview
Specialty General Medicine
Date 2017 Jul 13
PMID 28698744
Citations 2
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Abstract

Background: A few studies have compared the cardiac rehabilitation (CR) outcome between those who undergo conventional on-pump bypass surgery and off-pump surgery. We compared this outcome among the patients differentiated by the On-pump and off-pump surgical procedures about cardiovascular variables and psychological status.

Methods: This longitudinal study recruited 318 and 102 consecutive patients who had undergone CABG (on-pump surgery, n = 318 and off-pump surgery, n = 102) and been referred to the CR clinic.

Results: The off-pump surgery patients had more improvement in their metabolic equivalents (METs) value. The physical and mental components of health-related quality of life (QOL) (based on SF-36 questionnaire) as well as depression-anxiety (based on Costello-Comrey Depression and Anxiety Scale) were notably improved in the two study groups after the CR program, while changes in the QOL components scores and also depression-anxiety score were not different between the off-pump and on-pump techniques.

Conclusions: Regarding QOL and psychological status, there were no differences in the CR outcome between those who underwent off-pump bypass surgery and those who underwent on-pump surgery; nevertheless, the off-pump technique was superior to the on-pump method on METs improvement following CR.

Citing Articles

Quality of life and functional capacity in patients after cardiac surgery intensive care unit.

Raidou V, Mitete K, Kourek C, Antonopoulos M, Soulele T, Kolovou K World J Cardiol. 2024; 16(8):436-447.

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Factors Affecting Recovery of 6-Minute Walk Distance After Coronary Artery Bypass Grafting.

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