327 Re-hospitalizations and cardiac rehabilitation participation of patients with and without CHF following CABG surgery

Aims Physical activity is a fundamental component of rehabilitation following coronary artery bypass (CABG) surgery. Proximity to neighbourhood green spaces may encourage physical activity. We investigated the association between residential greenness and exercise-related physical activity post-CABG surgery. Methods Participants in a prospective cohort study of 846 patients (78% men) who underwent CABG surgery at seven cardiothoracic units during the time period 2004–2007 were interviewed regarding their physical activity habits one day before and one year after surgery. Exposure to residential neighbourhood greenness (within a 300 m buffer around their place of residence) was measured using the Normalized Difference Vegetative Index. Participation in exercise-related physical activity (yes/no), weekly duration of exercise-related physical activity and the change in exercise-related physical activity between baseline and follow-up were examined for associations with residential greenness, adjusting for socio-demographic factors, propensity score adjusted participation in cardiac rehabilitation and health-related covariates after multiple imputation for missing variables. Results Living in a higher quartile of residential greenness was associated with a 52% greater odds of being physically active (OR 1.52, 95% CI 1.22–1.90). This association persisted only (OR 1.75, 95% CI 1.35–2.27) among patients who did not participate in cardiac rehabilitation following surgery and was stronger in women (OR 2.38, 95% CI 1.40–4.07) than in men (OR 1.37, 95% CI 1.07–1.75). Participants who lived in greener areas were more likely to increase their post-surgical physical activity than those who lived in less green areas (OR 1.59, 95% CI 1.25–2.01). Conclusions Residential greenness appears to be beneficial in increasing exercise-related physical activity in cardiac patients, especially those not particpating in cardiac rehabilitation after CABG surgery.

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Effect of Cardiac Rehabilitation on Sexual Satisfaction of Patients After Coronary Artery Bypass Graft Surgery

Journal of Guilan University of Medical Sciences ◽

10.32598/jgums.30.1.1469.2 ◽

2021 ◽

Vol 30 (1) ◽

pp. 2-13

Author(s):

Parand Pourghane ◽

◽

Pegah Amiri Nejad ◽

Syeed Mohammad Taghi Razavi Tousi ◽

◽

...

Keyword(s):

Coronary Artery ◽

Cardiac Rehabilitation ◽

Sexual Satisfaction ◽

Artery Bypass ◽

Bypass Graft ◽

Rehabilitation Program ◽

Artery Bypass Graft ◽

Cardiac Rehabilitation Program ◽

Cabg Surgery ◽

Before And After

Background: Providing sexual counseling in cardiac rehabilitation program can improve patients’ sexual satisfaction and performance after Coronary Artery Bypass Graft (CABG) surgery. Objective This study aims to determine the effect of cardiac rehabilitation on sexual satisfaction of patients after CABG surgery. Materials and Methods: This descriptive-analytical study with a cross-sectional design was conducted on 108 patients with CABG surgery referred to cardiac rehabilitation centers in Rasht and Tehran, Iran in 2017-2018. A demographic form and Larsson’s sexual satisfaction questionnaire were used for data collection before and after 10 sessions of cardiac rehabilitation program. The collected data were analyzed in SPSS v. 18 software using paired t-test, Wilcoxon test, and ANCOVA considering a significance level at P<0.05. Results: The mean age of participants was 58.60±6.37 years. Their sexual satisfaction score significantly increased after the intervention and there was a statistically significant difference in sexual satisfaction before and after the intervention (P<0.001). The pre-test and post-test sexual satisfaction scores had no significant relationship with age, gender, years of marriage, duration of heart disease, comorbidities, occupational status, educational level, and economic status (P>0.05). Conclusion: It is necessary to pay attention to the sexual satisfaction of patients after CABG surgery to improve their sexual function and quality of life by creating an opportunity for them to participate in postoperative cardiac rehabilitation programs.

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A RETROSPECTIVE COHORT STUDY TO UNDERSTAND THE AGE, GENDER AND RISK FACTORS PATTERN IN PATIENTS ATTENDING FOR CARDIAC REHABILITATION (CR) AFTER CORONARY ARTERY BYPASS GRAFTING (CABG) SURGERY

10.36106/ijar/5702089 ◽

2021 ◽

pp. 57-60

Author(s):

Md Anwar Sadat Halder ◽

Saumen Kumar De

Keyword(s):

Risk Factors ◽

Coronary Artery ◽

Coronary Artery Bypass Grafting ◽

Cardiac Rehabilitation ◽

Coronary Artery Bypass ◽

Artery Bypass ◽

Bypass Grafting ◽

Artery Bypass Grafting ◽

Cabg Surgery ◽

Study Population

Introduction: Throughout the world, cardiovascular disease is a leading cause of not only morbidity but also mortality too. Myocardial infarction is the primary reason for admission in cardiac rehabilitation unit, patients of Coronary artery bypass Graft (CABG) surgery along with other cardiac condition like valve surgery, post PTCA (Percutaneous Transluminal Coronary Angioplasty) are also being referred for cardiac rehabilitation. Coronary artery bypass surgery, also known as coronary artery bypass graft (CABG) surgery, is a surgical procedure for partially obstructed coronary artery (the "target vessel"). The purpose is to restore normal blood ow to the partially obstructed coronary artery. Our study is an attempt to understand the age, gender and risk factors pattern in patients attending for cardiac rehabilitation after Coronary Artery Bypass Grafting (CABG) Surgery. Material And Methods: This Retrospective Cohort Study was conducted in the Department of Physical Medicine and Rehabilitation of Institute of Post Graduate Medical Education and Research (IPGME & R) and SSKM Hospitals, Kolkata after getting Institutional ethical committee clearance and informed consent. Relevant data regarding medical, personal history and demographics collected from the patients attended for cardiac rehabilitation (CR) after coronary artery bypass grafting (CABG) surgery between January, 2014 to June, 2015 (18 months) were being used for analysis. Results: Data were summarised by routine descriptive statistics. Maximum number of patients are in the age group of 51-60 years. Most of study population are male (90%). Study showed show 42.5 % are smoker, 37.5 % diabetic, 27.5 % are obese, 82.5 % are dyslipidaemic, 57.5 % are hypertensive. Conclusion: Our study shows most of our patient is male of 5th decade. Minimum age is 46-year, maximum age is 71 years with the mean age 55.4 years. most of study population are male (90%). Among the study population, 42.5 % are smoker, 37.5 % diabetic, 27.5 % are obese, 82.5 % are dyslipidaemic, 57.5 % are hypertensive. Hence male sex is an important risk factor for coronary artery disease. Early and aggressive attention to these risk factors e.g., smoking, diabetes, obesity, dyslipidaemia, hypertension could drastically reduce the need for coronary procedures such as angioplasty, stent, and bypass surgeries.

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P3-63 THE COST-EFFECTIVENESS ANALYSIS OF PHASE II CARDIAC REHABILITATION IN PATIENTS UNDERWENT CABG SURGERY

International Journal of Cardiology ◽

10.1016/s0167-5273(08)70738-1 ◽

2007 ◽

Vol 122 ◽

pp. S117

Author(s):

Shu-Ting Hua ◽

Ching-Ling Hsu ◽

Li-Ying Kuo ◽

Hsin-Yi Huang ◽

Jui-Chun Chen ◽

...

Keyword(s):

Cost Effectiveness ◽

Cardiac Rehabilitation ◽

Phase Ii ◽

Cost Effectiveness Analysis ◽

Cabg Surgery ◽

Effectiveness Analysis ◽

The Cost

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Adherence to guideline-directed medical therapy and its association with re-hospitalization and mortality following coronary artery bypass graft surgery

European Heart Journal ◽

10.1093/ehjci/ehaa946.2975 ◽

2020 ◽

Vol 41 (Supplement_2) ◽

Author(s):

R Dankner ◽

L Orenstein ◽

K Laufer ◽

L Olmer ◽

A Ziv ◽

...

Keyword(s):

Coronary Artery ◽

Coronary Artery Bypass Graft ◽

Cardiac Rehabilitation ◽

Coronary Artery Bypass ◽

Beta Blockers ◽

Artery Bypass ◽

Bypass Graft ◽

Funding Source ◽

Artery Bypass Graft ◽

Cabg Surgery

Abstract Objectives We investigated associations with re-hospitalization, and intermediate- and long-term mortality, of cardio-thoracic surgeons' adherence to pharmacological guideline-directed medical therapy (GDMT) in discharge recommendations of coronary artery bypass graft (CABG) surgery patients. Methods In this longitudinal multicenter study, 1,131 patients who underwent elective CABG surgery in seven medical centers during 2004–2007 were interviewed in the hospital before surgery. Adherence of cardio-thoracic surgeons to GDMT was considered as prescribing medications from three families: antiplatelet therapy, beta-blockers and statins; and was determined from discharge letters. Patients were interviewed one-year after hospitalization to obtain information on re-hospitalizations and current medications. Mortality information was extracted from the Ministry of Internal Affairs registry and updated until March 2018. Results GDMT adherence was evident in the discharge recommendations of 638 patients (56.4%). A propensity score (PS)-weighted multivariate logistic regression showed a 26% lower 1-year risk of re-hospitalization/mortality among patients whose discharge recommendations reflected full adherence than among patients whose recommendations reflected partial adherence (OR=0.74, 95% CI: 0.57–0.97, p=0.03). A PS-weighted Cox proportional hazard model showed 24% lower intermediate (8 year)-term mortality hazard among patients with cardio-thoracic surgeons' adherence to GDMT, compared to other patients (HR=0.76, 95% CI: 0.59–0.98, p=0.03); however the protective effect was attenuated when examining long (14 year)-term mortality. Short- and intermediate-term protective effects were also found when considering only adherence to beta-blockers or statins. Use of GDMT increased 1-year after CABG surgery only in patients who attended cardiac rehabilitation programs after surgery and not in those who did not attend cardiac rehabilitation during that year. Conclusions The reference in CABG patients' discharge recommendations to GDMT was associated with a lower 1-y re-admissions/mortality and lower intermediate-term mortality. Cardio-thoracic surgeons should adhere closely to preventive medication guidelines. Cardiac rehabilitation is associated with better post CABG surgery patients preventive treatment. Funding Acknowledgement Type of funding source: Public grant(s) – National budget only. Main funding source(s): Israel National Institute for Health Policy

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Cardiac rehabilitation is associated with reduced long-term mortality in patients undergoing combined heart valve and CABG surgery

European Journal of Preventive Cardiology ◽

10.1177/2047487313512219 ◽

2013 ◽

Vol 22 (2) ◽

pp. 159-168 ◽

Cited By ~ 36

Author(s):

Kashish Goel ◽

Quinn R Pack ◽

Brian Lahr ◽

Kevin L Greason ◽

Francisco Lopez-Jimenez ◽

...

Keyword(s):

Cardiac Rehabilitation ◽

Heart Valve ◽

Cabg Surgery ◽

Long Term Mortality

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Effect of Cardiac Rehabilitation on Atrial Conductions Following Isolated Coronary Artery Bypass Surgery

10.22541/au.160900894.42278292/v1 ◽

2020 ◽

Author(s):

Anil Sahin ◽

Omer Tasbulak ◽

Serkan Kahraman ◽

Gokhan Demirci ◽

Hicaz Zencirkiran Agus ◽

...

Keyword(s):

Coronary Artery ◽

Cardiac Rehabilitation ◽

Coronary Artery Bypass ◽

Artery Bypass ◽

Wave Dispersion ◽

P Wave ◽

Exclusion Criterion ◽

Atrial Arrhythmias ◽

P Wave Dispersion ◽

Cabg Surgery

Background: Cardiac rehabilitation (CR) is associated with improved clinical outcomes in a broad spectrum of cardiac disease. The beneficial effect of CR has been proven in patients with ischemic heart diseases. Post-operative atrial fibrillation (AF) and atrial arrhythmias are common complications following coronary artery bypass grafting (CABG) surgery. The aim of this study was to evaluate the effect of CR on atrial conductions in patients who underwent isolated CABG surgery. Methods: After the exclusion criterion was applied 545 patients were included in the study, retrospectively. One group (Rehab +) included patients who participated in CR program and the other group (Rehab -) included patients who did not want to or could not be participated in CR program after isolated CABG surgery. ECG parameters of Pmax, Pmin and P wave dispersion (PWD) of both groups were compared. Results: All parameters including heart rate, PR interval, Pmax, Pmin and PWD were significantly changed in rehab (+) group after CABG surgery. There was significant change in rehab (+) group when compared to rehab (-) group in terms of parameters of Pmax (P<0.001), Pmin (P<0.001), P wave dispersion (P<0.001). Conclusion: Our findings referred that CR program significantly improved parameters of atrial conduction including Pmax, Pmin and PWD following isolated CABG surgery. Thereby improvement in atrial conduction by CR program following CABG surgery could reduce atrial arrhythmias.

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