Indian Journal of Physiotherapy & Occupational Therapy-An International Journal

Open Access Open Access  Restricted Access Subscription Access
Open Access Open Access Open Access  Restricted Access Restricted Access Subscription Access

Comparison of Quality of Life in off-pump Versus on-pump Coronary Artery bypass Graft (CABG) Patients before and after Phase II Cardiac Rehabilitation


Affiliations
1 Dep. of Physiotherapy, NITTE University, Mangalore, India
2 Dep. of Medicine, NITTE University, Mangalore, India
3 Dep. of Cardio Thoracic Surgery, NITTE University, Mangalore, India
     

   Subscribe/Renew Journal


Background and purpose: Coronary artery Bypass Graft (CABG) is the commonly performed revascularization procedure after a major vessel block. Many studies have indicated that there is a reduction in Quality of Life after CABG. The aim of our study was to compare the Quality of Life (QOL) in off pump and on pump CABG patients before and after phaseII Cardiac rehabilitation and to find out the effectiveness of cardiac rehabilitation to improve the QOL.

Materials and Methods: The QOL of 50 patients consisting of two groups were studied on two different occasions before phase II cardiac rehabilitation and after Phase II cardiac rehabilitation respectively by using SF-36v2 questionnaire.

Results: 50 patients with the mean age 47.9 years, (range 40-58) completed the study. Following the cardiac rehabilitation there was a marked improvement in the QOL of both the groups, and the physical and mental components scores in the SF-36v2 questionnaire were increased. The difference between the scores of off pump and on pump CABG was significant before phase II cardiac rehabilitation. After phaseII cardiac rehabilitation, there were no significant changes between the scores except for those of general health (p=.005), emotional role functioning (p

Conclusion: The QOL was seen to increase significantly after 3 months of structured cardiac rehabilitation program(comprising of Phase I and Phase II cardiac rehabilitation) in both on pump and off pump CABG patients .There were significant changes in the all the 8 domains in the SF-36v2 questionnaire in both groups before and after Phase II cardiac rehabilitation, but there was no significant difference in QOL between on pump and off pump CABG subjects after Phase II cardiac rehabilitation program.


Keywords

Quality of Life (QOL), off Pump CABG (OPCAB), on Pump CABG, Phase II Cardiac Rehabilitation
Subscription Login to verify subscription
User
Notifications
Font Size


  • Kolesov VI. Mammary artery-coronary artery anastomosis as a method of treatment of angina pectoris. J Thorac Cardiovascular Surg. 1967; 54: 535–544.

  • Favaloro RG. Saphenous vein autograft replacement of severe segmental coronary artery occlusion: operative technique. Ann Thorac Surg. 1968; 5: 334–339.

  • H S Rissam, S Kishore, N Trehan Coronary Artery Disease in young Indians- The missing link. J Indian Academy of clinical Medicine. 2001Julyseptember; 2(3).

  • Thomas A .Schwann.Effects of body size on operative, intermediate, and long-term outcomes after coronary artery bypass operation.Ann Thoracic Surg. 2001; 71:521-530.

  • Reeves BC,Ascione R, Chamberlain MH,Angelini GD. Effect of body mass index on early outcomes in patients undergoing coronary artery bypass surgery. J Am Coll Cardiol. 2003; 42:668-676.

  • D Johnson. Postoperative physical therapy after coronary artery bypasses surgery. Am. J. Respir. Crit. Care Med. Sep 1995; 152(3):953-958.

  • Elisabeth Westerdahl. Chest physiotherapy after CABG surgery- A comparison of three different deep breathing techniques. Rehab Med. 2001; 33:79-84.

  • Ignacio J. Ferreira-Gonza´lez, Aida Ribera, Purificacio´n Cascant and Gaieta´ Permanyer- Miralda1. The ARCA study group Epidemiology Unit, Department of Cardiology, Vall d’Hebron Hospital, Paseo Vall d’Hebron. European Heart Journal. 2006; 27: 2473–2480.

  • Bo Hedback, Joep Perk, Mikael H¨ornblad and Ulf Ohlsson. Cardiac rehabilitation after coronary artery bypass surgery:10-year results on mortality, morbidity and readmissions tohospital. Journal of Cardiovascular Risk. 2001; 8:153–158.

  • Yaacov Drory MD. Cardiac Rehabilitation after Coronary Artery Bypass GraftSurgery: Urgently Needed. IMAJ. 2001; 3:427-429.

  • Eagle KA, Guyton RA, Davidoff R, Ewy GA, Fonger, J, Gardner TJ, Gott JP, Herrmann HC, Marlow RA, Nugent WC, O’Connor GT, Orszulak TA, Rieselbach RE, Winters WL, Yusuf S. ACC/ AHA guidelines for coronary artery bypass graft surgery: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines Committee.

  • Oldridge N, Furling W, Feeny D. Economic evaluation of cardiac rehabilitation soon after acute myocardial infarction. Am J Cardiol.1993; 72:154–161.

  • Levin LA, Perk J, Hedb B. Cardiac rehabilitation – a cost analysis. J Intern Med. 1991; 230:427–434.

  • Ades PA, Pashkow F, Nestor JR. Cost-effectiveness of cardiac rehabilitation after myocardial infarction. J Cardiopulm Rehabil. 1997; 17: 222–231.

  • Dempster M, Donnelly M. Measuring healthrelated quality of life among people with ischaemic heart disease. Heart. 2000; 83:641–644.

  • John E. Ware, Jr., PhD, founder/CEO of Quality Metric Health Outcomes Solutions, releases the User’s Manual for the SF 36v2 Health Survey – Second Edition. Lincoln RI – September 2007.

  • Morag K. Thow Dip PE, BSc, PhD, MCSP .Exercise Leadership in Cardiac Rehabilitation An evidence-based approach. Glasgow Caledonian University Glasgow, UK.page1 and page 9.

  • Machionni N, Fattirolli F, Fumagalli S. Improved exercise tolerance and quality of life with cardiac rehabilitation of older patients after myocardial infarction: results of a randomized controlled trail. Circulation.2003; 107: 2201-2206.

  • American College of Sports Medicine (ACSM) - Guidelines for exercise testing and prescription. 7th Ed. Philadelphia: Lippincott, Williams and Wilkines.2006.

  • Mohammad H Haddadzadeh, Arun G Maiya, Bjan Shad, Fardin Mirbolouk, R Padmakumar, Vasudeva Guddattu .Effect ofcardiac rehabilitation on myocardial contractility in coronary artery disease patients: A trail from Iran.ijcrr.2011 september;03(09):149-158.


Abstract Views: 496

PDF Views: 0




  • Comparison of Quality of Life in off-pump Versus on-pump Coronary Artery bypass Graft (CABG) Patients before and after Phase II Cardiac Rehabilitation

Abstract Views: 496  |  PDF Views: 0

Authors

Nikhil Vishwanath
Dep. of Physiotherapy, NITTE University, Mangalore, India
S. Ajith
Dep. of Physiotherapy, NITTE University, Mangalore, India
Ivor Peter D'Sa
Dep. of Medicine, NITTE University, Mangalore, India
M. Gopalakrishnan
Dep. of Cardio Thoracic Surgery, NITTE University, Mangalore, India
C. K. Mohamed Faisal
Dep. of Physiotherapy, NITTE University, Mangalore, India

Abstract


Background and purpose: Coronary artery Bypass Graft (CABG) is the commonly performed revascularization procedure after a major vessel block. Many studies have indicated that there is a reduction in Quality of Life after CABG. The aim of our study was to compare the Quality of Life (QOL) in off pump and on pump CABG patients before and after phaseII Cardiac rehabilitation and to find out the effectiveness of cardiac rehabilitation to improve the QOL.

Materials and Methods: The QOL of 50 patients consisting of two groups were studied on two different occasions before phase II cardiac rehabilitation and after Phase II cardiac rehabilitation respectively by using SF-36v2 questionnaire.

Results: 50 patients with the mean age 47.9 years, (range 40-58) completed the study. Following the cardiac rehabilitation there was a marked improvement in the QOL of both the groups, and the physical and mental components scores in the SF-36v2 questionnaire were increased. The difference between the scores of off pump and on pump CABG was significant before phase II cardiac rehabilitation. After phaseII cardiac rehabilitation, there were no significant changes between the scores except for those of general health (p=.005), emotional role functioning (p

Conclusion: The QOL was seen to increase significantly after 3 months of structured cardiac rehabilitation program(comprising of Phase I and Phase II cardiac rehabilitation) in both on pump and off pump CABG patients .There were significant changes in the all the 8 domains in the SF-36v2 questionnaire in both groups before and after Phase II cardiac rehabilitation, but there was no significant difference in QOL between on pump and off pump CABG subjects after Phase II cardiac rehabilitation program.


Keywords


Quality of Life (QOL), off Pump CABG (OPCAB), on Pump CABG, Phase II Cardiac Rehabilitation

References