scholarly journals Comparıson of the Effects of On-Pump and Off-Pump Techniques on the Quality of Life in Coronary Artery Bypass Surgery

2020 ◽  
Author(s):  
Nofel Ahmet Binicier ◽  
Atıf Yolgösteren ◽  
Murat Biçer
Keyword(s):  
Quality Of Life ◽  
Coronary Artery ◽  
Physical Function ◽  
Coronary Artery Bypass ◽  
Artery Bypass ◽  
Off Pump ◽  
Sf 36 ◽  
Emotional Role ◽  
Group 2

Objective: In this study, we aimed to compare the effects between on-pump and off-pump coronary artery bypass surgery on the effect of quality of life. Methods: Fifty patients who underwent isolated coronary artery bypass (CABG) between 01.08.2012 - 31.01.2013 were divided into two equal groups (group 1: off-pump CABG; group 2: on-pump CABG). The quality of life of all patients was evaluated using the SF-36 questionnaire in the postoperative first week and first month (8 basic parameters in SF-36 questionnaire form: Physical function, pain, physical role, mental health, emotional role, social function, fitness / fatigue, general health) Results: One week after CABG surgery, physical function, physical role, social function and emotional role were significantly better in group 1 than group 2 (p <0.05). There was no statistically significant difference between the two groups in terms of quality of life, one month after CABG surgery (p> 0.05). Physical function was significantly better in female gender one week after CABG (p <0.05). There was no difference between the two genders in terms of quality of life after one month (p> 0.05). Conclusion: We think that CABG performed off-pump in order to avoid from negative effects of cardiopulmonary bypass has no significant effect on the quality of life of the patients in the postoperative period. Nevertheless, in order to get a clearer idea on this issue, we think that large series studies should be conducted with a higher number of patients.

Comparison of the Quality of Life After Conventional Versus Off-Pump Coronary Artery Bypass Surgery

2008 ◽  
Vol 23 (2) ◽  
pp. 120-125 ◽  
Author(s):  
Emmanouil I. Kapetanakis ◽  
Sotiris C. Stamou ◽  
Kathleen R. Petro ◽  
Peter C. Hill ◽  
Steven W. Boyce ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Coronary Artery ◽  
Coronary Artery Bypass ◽  
Coronary Artery Bypass Surgery ◽  
Bypass Surgery ◽  
Artery Bypass ◽  
Off Pump ◽  
Pump Coronary Artery Bypass

scholarly journals Assessment of Two Training Modalities Effects on Exercise Tolerance after a Cardiac Rehabilitation Program and 3 Months Later in Off-Pump Coronary Artery Bypass Patients

2007 ◽  
Vol 30 (3) ◽  
pp. 30
Author(s):  
G. Kervio ◽  
N. S. Ville ◽  
S. Bourdet ◽  
C. Le Breton ◽  
F. Carré
Keyword(s):  
Quality Of Life ◽  
Coronary Artery ◽  
Coronary Artery Bypass ◽  
Physical Training ◽  
Ventilatory Threshold ◽  
Artery Bypass ◽  
Interval Training ◽  
Off Pump ◽  
Pump Coronary Artery Bypass

Background. Physical training is recommended as an efficient therapy in patients with coronary disease. However its effects should depend on its modalities. The aim of this study was to compare the effects of continuous and interval training after off-pump coronary artery bypass surgery (CABG). Methods. Twenty-three male patients (59.5 ± 1.2 yr) underwent a randomized physical training using continuous (C, n=10) or interval (IT, n=13) modalities, over 3 weeks (5 h. a week). All patients performed a symptom-limited exercise test with measurements of ventilatory threshold (VT) and peak workload (WL), oxygen uptake (VO2) and heart rate (HR), before, at the end and 3 months after the training period. They also completed the SF-36 questionnaire to assess their quality of life. Results. Both C and IT improved WL and VO2 at VT (P < 0.05) and at peak exercise (P < 0.05). Only IT increased peak HR and HR reserve (P < 0.01). In both groups quality of life was improved (P < 0.05). In both groups, compared to after training, the 3-months assessment showed an increase in peak and ventilatory threshold WL, and in peak HR (P < 0.05) without any change in peak VO2 and VT HR. No difference was observed between groups whatever the period studied. Back to home, in accordance with the given recommendations, most of the patients carried on their physical training over 3 months. They performed either outside walking (n=9) or cycling sessions (n=1) or both activities (n=11). No difference concerning the global training schedule was noted regardless their group (5.4 ± 1.2 vs. 6.0 ± 1.1 h.week-1 for C and IT, respectively). Conclusions. In off-pump CABG patients, similar improvements of exercise capacity and quality of life perception were observed after both C and IT programs. Only peak HR was increased after interval training. Thus, IT is a good alternative to C training in this population. Aerobic fitness still remained stable or increased after 3 months of individual practice which duration exceeded the minimal values recommended.

Comparison of early and late quality of life between left anterior thoracotomy and median sternotomy off-pump coronary artery bypass surgery

Perfusion ◽  
2016 ◽  
Vol 32 (1) ◽  
pp. 50-56
Author(s):  
Julian J. Nesbitt ◽  
George Mori ◽  
Charlotte Mason-Apps ◽  
George Asimakopoulos
Keyword(s):  
Quality Of Life ◽  
Coronary Artery ◽  
Minimally Invasive ◽  
Coronary Artery Bypass ◽  
Artery Bypass ◽  
Median Sternotomy ◽  
Off Pump ◽  
Pump Coronary Artery Bypass ◽  
Oral Analgesia

Objective: Minimally invasive coronary artery bypass surgery performed through a left thoracotomy has potential benefits over conventional sternotomy, including reduced surgical trauma, faster recovery and potential improvement in quality of life. This study is a prospective assessment of quality of life in patients undergoing off-pump coronary bypass by median sternotomy and left anterior thoracotomy. Methods: Quality of life was assessed by the EuroQoL questionnaire, with additional questions on dyspnoea, angina, wound pain and scar aesthetics. Outcomes were compared across the data sets at pre-operation, three weeks and three months post-operation. Results: Sixty-six (17 minimally invasive and 49 off-pump) patients (mean age 65±12, 7 females and 59 males) were included. Significant differences in mean EuroQol outcomes were observed for activities, F(1,64) = 5.86, (p<0.05), pain scores, F(1,64) = 4.658 (p=0.035) and scar aesthetics, F(1,64) = 16.83 (p<0.05). There was an additional significant interaction, F(1.898, 121.49) = 3.282, (p<0.05), between time and group for activity levels; exploring this further indicated no significant difference at baseline, but significantly greater improvement observed in the minimally invasive group over time. At 3 weeks, 50% of minimally invasive patients compared to 82% of sternotomy patients (p<0.001) required oral analgesia. At 3 months, 8% of minimally invasive patients and 21% of sternotomy patients (p<0.001) required oral analgesia. Conclusions: Off-pump coronary artery bypass performed with a minimally invasive approach through a left thoracotomy appears to result in earlier improvement in quality of life outcomes compared to conventional sternotomy. These results are important when counselling patients regarding the benefits and difference between a left anterior thoractomy MIDCABG and conventional OPCAB and can be used as pilot data for a larger trial examining differences in the MIDCABG and conventional full sternotomy OPCAB procedures.

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