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ID Design 2012/DOOEL Skopje, Republic of Macedonia

Open Access Macedonian Journal of Medical Sciences.

https://doi.org/10.3889/oamjms.2017.057

eISSN: 1857-9655

Clinical 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, Tehran, Iran

 

Abstract

 

 

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.

..................

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: adeljoharim@yahoo.com
Received: 16-Jan-2017; Revised: 11-Mar-2017; Accepted: 13-Mar-2017; Online first: 07-May-2017
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 interests exist.
 

 

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This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.