open access

Vol 70, No 9 (2012)
Original articles
Published online: 2012-09-20
Submitted: 2012-12-28
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Quality of life in patients after minimally invasive endoscopic atraumatic coronary artery bypass grafting: a long−term follow−up

Łukasz J. Krzych, Małgorzata Lach, Sara Mustafa, Michał Joniec, Marcelina Niemiec, Rafik Abu Samra, Andrzej Bochenek, Marek Cisowski
Kardiol Pol 2012;70(9):890-896.

open access

Vol 70, No 9 (2012)
Original articles
Published online: 2012-09-20
Submitted: 2012-12-28

Abstract

Background: Quality of life (QoL) is an acknowledged parameter that subjectively describes treatment effectiveness and is used also in cardiac surgery. Minimally-invasive totally endoscopic atraumatic coronary artery bypass grafting (EACAB) does not require the use of cardiopulmonary bypass, reduces hospital stay and facilitates early rehabilitation. Therefore, this procedure should significantly improve QoL in patients with coronary artery disease.
Aim: To assess QoL during a 12-year follow-up in patients who underwent EACAB.
Methods: The study group comprised 706 consecutive patients who underwent EACAB between April 1998 and December 2010. Median duration of follow-up was 1918 days. QoL was assessed by either telephone interview or letter correspondence. Complete data were obtained from 413 persons aged 59 ± 6 years. We evaluated the effect of pre- and postoperative variables on QoL.
Results: Compared with the preoperative period, a marked improvement in QoL after EACAB was reported by 38.6%, and improvement by 37.2% of patients. No change in QoL was noted by 18.8% of subjects, and 5.4% of responders reported deterioration of QoL. The following parameters were found to have no impact on QoL: gender (p = 0.3), myocardial infarction (MI) before EACAB (p = 0.3), diabetes mellitus (p = 0.7), and baseline angina severity by the Canadian Cardiovascular Society (CCS) classification (p = 0.8). Time delay between the surgery and QoL assessment had no impact on the results. During the follow-up, reported QoL was related to the severity of angina symptoms (p = 0.006), need for rehospitalisation (p = 0.02), MI (p = 0.04) and repeated revascularisation (p = 0.02). In multivariate analysis, only MI had a significant impact on QoL (p = 0.04). Current drug therapy had no impact on QoL.
Conclusions: EACAB significantly improved QoL in coronary patients. MI during follow-up was associated with deterioration of QoL.

Abstract

Background: Quality of life (QoL) is an acknowledged parameter that subjectively describes treatment effectiveness and is used also in cardiac surgery. Minimally-invasive totally endoscopic atraumatic coronary artery bypass grafting (EACAB) does not require the use of cardiopulmonary bypass, reduces hospital stay and facilitates early rehabilitation. Therefore, this procedure should significantly improve QoL in patients with coronary artery disease.
Aim: To assess QoL during a 12-year follow-up in patients who underwent EACAB.
Methods: The study group comprised 706 consecutive patients who underwent EACAB between April 1998 and December 2010. Median duration of follow-up was 1918 days. QoL was assessed by either telephone interview or letter correspondence. Complete data were obtained from 413 persons aged 59 ± 6 years. We evaluated the effect of pre- and postoperative variables on QoL.
Results: Compared with the preoperative period, a marked improvement in QoL after EACAB was reported by 38.6%, and improvement by 37.2% of patients. No change in QoL was noted by 18.8% of subjects, and 5.4% of responders reported deterioration of QoL. The following parameters were found to have no impact on QoL: gender (p = 0.3), myocardial infarction (MI) before EACAB (p = 0.3), diabetes mellitus (p = 0.7), and baseline angina severity by the Canadian Cardiovascular Society (CCS) classification (p = 0.8). Time delay between the surgery and QoL assessment had no impact on the results. During the follow-up, reported QoL was related to the severity of angina symptoms (p = 0.006), need for rehospitalisation (p = 0.02), MI (p = 0.04) and repeated revascularisation (p = 0.02). In multivariate analysis, only MI had a significant impact on QoL (p = 0.04). Current drug therapy had no impact on QoL.
Conclusions: EACAB significantly improved QoL in coronary patients. MI during follow-up was associated with deterioration of QoL.
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Keywords

quality of life; MIDCAB; EACAB

About this article
Title

Quality of life in patients after minimally invasive endoscopic atraumatic coronary artery bypass grafting: a long−term follow−up

Journal

Kardiologia Polska (Polish Heart Journal)

Issue

Vol 70, No 9 (2012)

Pages

890-896

Published online

2012-09-20

Bibliographic record

Kardiol Pol 2012;70(9):890-896.

Keywords

quality of life
MIDCAB
EACAB

Authors

Łukasz J. Krzych
Małgorzata Lach
Sara Mustafa
Michał Joniec
Marcelina Niemiec
Rafik Abu Samra
Andrzej Bochenek
Marek Cisowski

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