Skip to main content

Advertisement

SpringerLink
Log in

Lifestyle practices, health problems, and quality of life after coronary artery bypass grafting

  • Original Article
  • Published:
Indian Journal of Thoracic and Cardiovascular Surgery Aims and scope Submit manuscript

Abstract

Introduction

Severe coronary artery disease continues to be a major health problem in India, and coronary artery bypass grafting (CABG) is the accepted modality of treatment. Post-operative long-term quality of life depends on the healthy lifestyle practices and appropriate control of risk factors. We tried to bring out the patient awareness and their practices after the surgery and their implications on their quality of life (QOL).

Materials and methods

Five hundred patients who completed 6 months after isolated CABG were interrogated for their lifestyle practices, health problems, and quality of life using a structured questionnaire. Those who underwent additional cardiac procedures, redo CABG, and coronary interventions after CABG were excluded.

Results

Eighty percent were in good functional class (NYHA I, II). Detailed evaluation showed that only 11.6% adhered to healthy lifestyle practices. Obesity, uncontrolled diabetes mellitus, uncontrolled hypertension, and hypercholesterolemia continued to be problems in 9.6, 20.2, 35, and 48.4%, respectively. Quality of life was assessed to be good in 27.6%, average in 46.4%, and poor in 26%. Psychological evaluation showed that 23% were significantly anxious and 20% had significant depression. Pre-operative diagnosis and left ventricular function at discharge influenced the QOL. Unhealthy lifestyle practices and failure to attain risk factor reduction adversely affected the quality of life.

Conclusion

This study emphasises the need for aggressive counselling as well as continuing health education to improve patient awareness about adopting healthy lifestyle practices after CABG to improve the quality of life.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  1. Srinath Reddy K, Shah B, Varghese C, Ramadoss A. Responding to the threat of chronic diseases in India. Lancet. 2005;366:1744–9.

    Article  CAS  Google Scholar 

  2. Joshi P, Islam S, Pais P, et al. Risk factors for early myocardial infarction in South Asians compared with individuals in other countries. JAMA. 2007;297:286–94.

    Article  CAS  Google Scholar 

  3. Gupta R. Burden of coronary heart disease in India. Indian Heart J. 2005;57:632–8.

    PubMed  Google Scholar 

  4. Ghaffar A, Reddy KS, Singhi M. Burden of non-communicable diseases in South Asia. BMJ. 2004;328:807–10.

    Article  Google Scholar 

  5. Leeder SR, Raymond SU, Greenberg H, Lui H, Esson K. A race against time: the challenge of cardiovascular disease in developing economies. The Center for Global Health and Economic Development. New York: Columbia University; 2004.

  6. Kerala ACS registry project report, 2008. Retrieved from http://www.csikerala.org.

  7. Taghipour HR, Naseri MH, Safiarian R, et al. Quality of life one year after coronary artery bypass graft surgery. Iran Red Crescent Med J. 2011;13:171–7.

  8. Peric V, Borzanovic M, Stolic R, et al. Predictors of worsening of patients’ quality of life six months after coronary artery bypass surgery. J Card Surg. 2008;23:648–54.

    Article  Google Scholar 

  9. Mehta RH, Bhatt DL, Steg PG, et al. Modifiable risk factors control and its relationship with 1 year outcomes after coronary artery bypass surgery: insights from the REACH registry. Eur Heart J. 2008;29:3052–60.

    Article  Google Scholar 

  10. Herlitz J, Karlson BW, Sjoland H, et al. Physical activity, symptoms of chest pain and dyspnea in patients with ischemic heart disease in relation to age before and two years after coronary artery bypass grafting. J Cardiovasc Surg. 2001;42:165–73.

    CAS  Google Scholar 

  11. Tully PJ, Baker RA. Depression, anxiety, and cardiac morbidity outcomes after coronary artery bypass surgery: a contemporary and practical review. J Geriatr Cardiol. 2012;9:197–208.

  12. Middel B, El Baz N, Pedersen SS, van Dijk JP, Wynia K, Reijneveld SA. Decline in health-related quality of life 6 months after coronary artery bypass graft surgery the influence of anxiety, depression, and personality traits. J Cardiovasc Nurs. 2014;29:544–54.

    Article  Google Scholar 

  13. Coyan GN, Reeder KM, Vacek JL, Coyan GN, Reeder KM, Vacek JL. Diet and exercise interventions following coronary artery bypass graft surgery: a review and call to action. Phys Sportsmed. 2014;42:119–29.

    Article  Google Scholar 

  14. Tully PJ. Quality-of-life measures for cardiac surgery practice and research: a review and primer. JECT. 2013;45:8–15.

    Google Scholar 

Download references

Acknowledgements

We acknowledge Mr Jinju Bastian T, MSc nursing student who conducted the pilot study in our department regarding QOL after CABG.

Author information

Authors and Affiliations

  1. Department of Cardiovascular and Thoracic Surgery, Government Medical College, Kottayam, India

    Vinitha Viswambharan Nair, Jayakumar Thanathu Krishnan Nair, Shyam Das, Kunal Krishna Singh, Joseph Thomas Kathayanat, Ratish Radhakrishnan, Nidheesh Chooriyil & Akash Babu

Authors
  1. Vinitha Viswambharan Nair
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Jayakumar Thanathu Krishnan Nair
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Shyam Das
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Kunal Krishna Singh
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Joseph Thomas Kathayanat
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. Ratish Radhakrishnan
    View author publications

    You can also search for this author in PubMed Google Scholar

  7. Nidheesh Chooriyil
    View author publications

    You can also search for this author in PubMed Google Scholar

  8. Akash Babu
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Vinitha Viswambharan Nair.

Ethics declarations

Conflict of interest

The authors declare that they have no conflict of interest.

Ethical statement

Ethical clearance was obtained from the institute research committee before start of the study.

Statement of animal and human rights

Procedures followed were in accordance with the ethical standards of the institutional research committee on human experimentation.

Informed consent

A detailed informed consent was prepared in regional language (Malayalam) explaining the nature of the study and was signed by all the enrolled subjects before interview.

Electronic supplementary material

ESM 1

(DOCX 17 kb)

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Nair, V.V., Nair, J.T.K., Das, S. et al. Lifestyle practices, health problems, and quality of life after coronary artery bypass grafting. Indian J Thorac Cardiovasc Surg 34, 476–482 (2018). https://doi.org/10.1007/s12055-018-0671-x

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s12055-018-0671-x

Keywords

Search

Navigation