ID Design 2012/DOOEL Skopje, Republic of
Open Access Macedonian Journal of Medical Sciences.
Outcome of Cardiac
Rehabilitation Following Off-Pump Versus On-Pump Coronary Bypass Surgery
Reza Arefizadeh1, Seyed Yaser Hariri2,
Adel Johari Moghadam1*
1Department of Cardiology, AJA University of Medical Sciences,
Tehran, Iran; 2Khatamolanbia Air Defence Medical University,
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
Citation: Arefizadeh R, Hariri SY, Moghadam AJ.
Outcome of Cardiac Rehabilitation Following Off-Pump Versus On-Pump Coronary
Bypass Surgery. Open Access Maced J Med Sci. https://doi.org/10.3889/oamjms.2017.057
Keywords: coronary artery bypass; cardiac rehabilitation; outcome;
quality of life.
*Correspondence: Adel Johari Moghadam, Department of Cardiology, AJA
University of Medical Sciences, Tehran, Iran. Tel: +98-9121341514. E-mail:
Received: 16-Jan-2017; Revised: 11-Mar-2017; Accepted: 13-Mar-2017; Online
Copyright: © 2017 Reza Arefizadeh, Seyed Yaser Hariri, Adel Johari
Moghadam. This is an open-access article
distributed under the terms of the Creative Commons Attribution-NonCommercial
4.0 International License (CC BY-NC 4.0).
Funding: This research did not receive any financial support.
Competing Interests: The authors have declared that no competing
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- Arefizadeh R
- Hariri SY
- Moghadam AJ