The Effects of Cardiac Tertiary Prevention Program after Coronary

Abstract

Objectives: Cardiac tertiary prevention programs intend to support the recovery course following coronary artery bypass grafting (CABG). We investigated the effects of attendance at cardiac rehabilitation (CR) programs following CABG on patients’ mortality, morbidity and health related quality of life.

Methods: Eighty patients who underwent CABG were selected in a way that half of them had attended a cardiac rehabilitation program and the other half had not. Health related quality of life (HRQoL) was measured using the Short Form 36 (SF-36) questionnaire at a mean of 23.4 months postoperatively. Severity of cardiac symptoms on the basis of the New York Health Association (NYHA), the occurrence of any neurological symptoms, hospitalization and restoration of patients to their previous level of performance in social activities were assessed after CABG surgery.

Results: There were no deaths. There were no differences in postoperative NYHA scores, neurological symptoms, and hospitalization. Three of the eight health domains measured by SF-36, namely general health (P = 0.010), physical function (P = 0.002), and mental health
(P < 0.001), showed significantly better values for attendants than non-attendants. Rehabilitation participants returned to their previous level of performance in social activities more than their control counterparts.

Conclusions: Higher general health scores (SF-36) were associated with attendance at CR programs. The findings of this study provide rationale to consider a broader scope of physiological and psychosocial parameters to predict outcomes of CABG surgery.

Keywords: Coronary artery bypass grafting, Cardiac rehabilitation, Health related quality of life.