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

Athanasios L P Markou1, Armand van der Windt, Henri A van Swieten

  • 1Heart Center, Radboud University Nijmegen, Department of Cardio-Thoracic Surgery, Nijmegen, The Netherlands.

European Journal of Cardio-Thoracic Surgery : Official Journal of the European Association for Cardio-Thoracic Surgery
|September 10, 2008
PubMed

Insights

Coronary artery bypass grafting (CABG) improves symptoms equally across age groups. However, older patients experience less improvement in quality of life and physical activity post-CABG.

Area of Science:

  • Cardiovascular Surgery
  • Quality of Life Research
  • Geriatric Medicine

Background:

  • Investigates one-year outcomes of quality of life (QOL), physical activity (PA), and New York Heart Association (NYHA) functional classification after coronary artery bypass grafting (CABG).
  • Focuses on changes in QOL, PA, and NYHA status in patients with stable angina undergoing primary isolated CABG.

Purpose of the Study:

  • To evaluate the impact of CABG on QOL, PA, and symptomatic status one year post-surgery.
  • To compare these outcomes across different age groups.

Main Methods:

  • A cohort of 568 patients undergoing primary isolated CABG were analyzed for pre- and 1-year postoperative QOL, PA, and NYHA status.
  • Patients were stratified into three age groups: <65 years (Group A), 65-74 years (Group B), and ≥75 years (Group C).
  • Outcomes assessed included changes in QOL (EuroQoL questionnaire, visual analogue score) and PA (Corpus Christi Heart Project criteria).

Main Results:

  • All age groups showed a significant decrease in NYHA class post-CABG.
  • Physical activity improvement was significant in younger groups (A and B) but not in the oldest group (C).
  • Quality of life improvements were most pronounced in Group A, with diminishing benefits observed in Groups B and C.

Conclusions:

  • While CABG effectively improves symptomatic status across all ages, older patients derive less benefit in terms of enhanced quality of life and physical activity.
  • Age is a significant factor influencing the degree of QOL and PA recovery after CABG.
Abstract

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