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

Autor:	Arefizadeh R; Department of Cardiology, AJA University of Medical Sciences, Tehran, Iran., Hariri SY; Khatamolanbia Air Defence Medical University, Tehran, Iran., Moghadam AJ; Department of Cardiology, AJA University of Medical Sciences, Tehran, Iran.
Jazyk:	angličtina
Zdroj:	Open access Macedonian journal of medical sciences [Open Access Maced J Med Sci] 2017 May 07; Vol. 5 (3), pp. 290-294. Date of Electronic Publication: 2017 May 07 (Print Publication: 2017).
DOI:	10.3889/oamjms.2017.057
Abstrakt:	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.
Databáze:	MEDLINE
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