Comparison of Symptoms of Younger and Older Patients Undergoing Coronary Artery Bypass Surgery

2004 ◽  
Vol 13 (3) ◽  
pp. 179-193 ◽  
Author(s):  
Kathleen H. Miller ◽  
Cecelia Gatson Grindel
Keyword(s):  
Coronary Artery ◽  
Coronary Artery Bypass ◽  
Older Patients ◽  
Coronary Artery Bypass Surgery ◽  
Bypass Surgery ◽  
Artery Bypass

Stressors and Anxiety in Patients Undergoing Coronary Artery Bypass Surgery

2007 ◽  
Vol 16 (3) ◽  
pp. 248-257 ◽  
Author(s):  
Robyn Gallagher ◽  
Sharon McKinley
Keyword(s):  
Coronary Artery ◽  
Pain Management ◽  
Coronary Artery Bypass ◽  
Older Patients ◽  
Coronary Artery Bypass Surgery ◽  
Bypass Surgery ◽  
Artery Bypass ◽  
Anxiety Levels ◽  
Realistic Information ◽  
Over Time

Background Patients undergoing coronary artery bypass surgery who have increased anxiety levels have poorer outcomes than patients with lower levels, yet few studies have identified the concerns associated with this anxiety. Objective To describe the concerns of patients undergoing coronary artery bypass surgery and to identify concerns that were associated with higher levels of anxiety. Method Patients (n = 172) were interviewed to determine their concerns and anxiety levels before surgery, before discharge, and 10 days after discharge. Multiple regression was used to determine the predictors of anxiety. Results Although individual concerns changed over time, anxiety levels did not change from before to after surgery, remaining low to moderate. Being female and having more concerns about waiting for the surgery, being in pain/discomfort, and resuming lifestyle were predictors of increased anxiety before surgery. Predictors of increased anxiety while hospitalized after the surgery included taking anxiolytic or antidepressant medications, higher anxiety levels before surgery, concerns about personal things being inaccessible, and difficulty sleeping. Patients with higher anxiety levels after discharge were older, more anxious before surgery, and had concerns about being in pain/discomfort. Conclusion Patients waiting for coronary artery bypass surgery should be routinely assessed for anxiety before the procedure, and interventions to prevent or reduce anxiety should be provided. Interventions must be multifactorial, including information and support for pain management and realistic information about surgery schedules and resuming lifestyle after the surgery. Women and older patients may need to be targeted for intervention.

Coronary Artery Bypass Surgery in Older Patients: Psychiatric Morbidity

1986 ◽  
Vol 79 (3) ◽  
pp. 303-306 ◽  
Author(s):  
DAVID G. FOLKS ◽  
JOSE FRANCESCHINI ◽  
ROBERTA S. SOKOL ◽  
ARTHUR M. FREEMAN ◽  
DIANE M. FOLKS
Keyword(s):  
Coronary Artery ◽  
Coronary Artery Bypass ◽  
Older Patients ◽  
Coronary Artery Bypass Surgery ◽  
Bypass Surgery ◽  
Artery Bypass ◽  
Psychiatric Morbidity

scholarly journals In-Hospital and Long-Term Prognosis after Myocardial Infarction in Patients with Prior Coronary Artery Bypass Surgery; 19-Year Experience

2009 ◽  
Vol 9 ◽  
pp. 1023-1030 ◽  
Author(s):  
Predrag M. Mitrovic ◽  
Branislav Stefanovic ◽  
Zorana Vasiljevic ◽  
Mina Radovanovic ◽  
Nebojsa Radovanovic ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Heart Failure ◽  
Coronary Artery ◽  
Coronary Artery Bypass ◽  
Older Patients ◽  
Coronary Artery Bypass Surgery ◽  
Bypass Surgery ◽  
Artery Bypass ◽  
Male Gender ◽  
Control Group

To present a 19-year experience of the prognosis of patients with acute myocardial infarction (AMI) and prior coronary artery bypass surgery (CABS), 748 patients with AMI after prior CABS (postbypass group) and a control group of 1080 patients with AMI, but without prior CABS, were analyzed. All indexes of infarct size were lower in the postbypass group. There was more ventricular fibrillation in the postbypass group. In-hospital mortality was similar (p= 0.3675). In the follow-up period, postbypass patients had more heart failure, recurrent CABS, reinfarction, and unstable angina than did control patients. Cumulative survival was better in the control group than in the postbypass group (p= 0.0403). Multiple logistic regression model showed that previous angina (p= 0.0005), diabetes (p= 0.0058), and age (p= 0.0102) were independent predictor factors for survival. Use of digitalis and diuretics, together with previous angina, also influenced survival (p= 0.0092), as well as male gender, older patients, and diabetes together (p= 0.0420). Patients with AMI after prior CABS had smaller infarct, but more reinfarction, reoperation, heart failure, and angina. Previous angina, diabetes, and age, independently, as well as use of digitalis and diuretics together with angina, and male gender, older patients, and diabetes together, influenced a worse survival rate in these patients.

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