Changes in quality of life, physical activity, and symptomatic status one year after myocardial revascularization for stable angina

Markou, Athanasios L.P.; Windt, Armand van der; Swieten, Henri A. van; Noyez, Luc

doi:10.1016/j.ejcts.2008.08.003

Cited by 25 publications

(28 citation statements)

References 26 publications

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“…Men who undergo CABG at a later age have similar decreased functional status and exercise capacity, so age may very well be a confounding factor when examining gender differences. 36 We did note that these general findings were remarkably similar between all of the studies we reviewed that had substantial numbers of women enrolled. Additional research is warranted to tease out reasons for these observed differences between gender and age groups.…”

Section: Discussionsupporting

confidence: 53%

Diet and Exercise Interventions Following Coronary Artery Bypass Graft Surgery: A Review and Call to Action

Coyan

Reeder

Vacek

2014

The Physician and Sportsmedicine

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Coronary artery bypass graft surgery (CABG) has been used for the treatment of coronary artery disease (CAD) for nearly 50 years, and has been performed for millions of people worldwide. However, little is known about the impact of lifestyle changes, including diet and exercise, on long-term outcomes in patients who have had CABG surgery. While clinical practice guidelines on post-CABG surgery management have been available for nearly 2 decades, evidence regarding secondary prevention behavioral interventions, lifestyle modifications, and self-management to slow progressive worsening of CAD, reduce cardiac hospitalizations, and prevent the need for reoperation is virtually absent from the literature. Diet and exercise are modifiable factors that impact secondary CAD risk. This article reviews the relevant recent literature on long-term diet and exercise outcomes in patients who have had CABG surgery. The limited available literature showed positive impacts of exercise on psychosocial well-being and physical fitness. Current evidence indicates diet and exercise interventions are effective in the short-term, but intervention effects fade over time. Potential age and gender differences were found across the reviewed studies; however, further research is needed with more rigorous designs to replicate and confirm findings as well as to define optimal management regimens and cost-effective prevention strategies.

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Section: Discussionsupporting

confidence: 53%

Diet and Exercise Interventions Following Coronary Artery Bypass Graft Surgery: A Review and Call to Action

Coyan

Reeder

Vacek

2014

The Physician and Sportsmedicine

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“…The period [11,12]. In our series we observed value of 1.38, which can be attributed to the presence of angina or anxiety in the preoperative period, because most of the population had coronary artery obstruction and had undergone coronary artery bypass grafting [13,14].…”

Section: Resultsmentioning

confidence: 68%

A dor interfere na função respiratória após cirurgias cardíacas?

Sasseron¹,

Figueirêdo²,

Trova³

et al. 2009

Rev Bras Cir Cardiovasc

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A dor interfere na função respiratória após cirurgias cardíacas?Does the pain disturb the respiratory function after heart surgeries? Abstract Objective: The postoperative pain after heart surgeries had been often reported. Meager reports about respiratory function and pain correlation had been reported. The aim of this study is to assess the pain intensity and location during hospital stay and its effect on respiratory function in patients undergone elective heart surgery.Methods: Respiratory function (lung volumes, respiratory muscle strength and peak expiratory flow) was assessed at the preoperative and postoperative times (1, 3 and 5 days) by ventilometer, manovacuometer and peak flow meter measurements. The assessment of pain intensity was performed with a visual analogue scale for pain.Results: The majority of pain site was on sternotomy incision (50% of patients) and the intensity was higher at the first postoperative day (8.32 by visual scale measurement). All respiratory variables remained lower than to preoperative period at fifth postoperative time (P > 0.05), with exception for respiratory rate. The pain and maximal inspiratory pressure showed a negative correlation at the first postoperative day (P = 0.019).Conclusion: Postoperative pain decreased respiratory function in patients precluding deep inspirations, in special, at the first postoperative day. Descriptors: Pain. Cardiovascular surgical procedures. Respiratory function tests. ResumoObjetivo: A dor no pós-operatório de cirurgia cardíaca é frequente. Poucos relatos existem sobre a sua relação com a função respiratória e o local mais frequentemente relatado. O objetivo é avaliar a intensidade e a localização da dor durante o período de internação e suas repercussões na função respiratória de pacientes submetidos à cirurgia cardíaca eletiva. PhD in Surgery at

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“…For this review, we excluded the four studies generated by our own group [3][4][5][6]. The other 29 studies were screened for the three respective study points .…”

Section: Resultsmentioning

confidence: 99%

“…Thirty-three papers were found using the PubMed search [3][4][5][6]. For this review, we excluded the four studies generated by our own group [3][4][5][6].…”

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Quality of life after cardiac surgery: underresearched research

Noyez

Jager

Markou

2011

Interactive CardioVascular and Thoracic Surgery

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Improved quality of life is a major goal for cardiac surgery. This review concerns 29 articles published between January 2004 and December 2010. Only nine studies present preoperative and postoperative registered quality of life data. These studies have a short follow-up and a limited number of patients included. Most other studies starts at a certain point in the follow-up and compare different patient groups or techniques, but do not evaluate postoperative vs. preoperative quality of life. In an era of evidence-based medicine, there is a lack of major and well-organized clinical studies dealing with quality of life after cardiac surgery. Based on this review, five requirements for 'good' studies on this subject can be formulated: information about the total number of patients that could be included; the number of patients actually included; information about preoperative quality of life; information on what was done about patients with missing data; and at least minimum information about demographics, co-morbidity and the cardiac risk of patients who were not included or who dropped out. These points seem to us to be essential for validation of the results presented.

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Changes in quality of life, physical activity, and symptomatic status one year after myocardial revascularization for stable angina

Abstract: Elderly patients have the same improvement of their symptomatic status as younger patients. However despite this improvement they have less benefit from CABG regarding to their quality of life and physical activity.

Cited by 25 publications

References 26 publications

Diet and Exercise Interventions Following Coronary Artery Bypass Graft Surgery: A Review and Call to Action

Diet and Exercise Interventions Following Coronary Artery Bypass Graft Surgery: A Review and Call to Action

A dor interfere na função respiratória após cirurgias cardíacas?

Quality of life after cardiac surgery: underresearched research

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