PMID- 16442928
OWN - NLM
STAT- MEDLINE
DCOM- 20060210
LR  - 20220409
IS  - 1097-6744 (Electronic)
IS  - 0002-8703 (Linking)
VI  - 151
IP  - 2
DP  - 2006 Feb
TI  - Asymptomatic long-term survivors of coronary artery bypass surgery enjoy a 
      quality of life equal to the general population.
PG  - 537-44
AB  - BACKGROUND: Health-related quality of life (HRQOL) among long-term survivors of 
      coronary artery bypass surgery is an important outcome that has been little 
      studied at the population level. METHODS: A postal survey was conducted in 1999 
      to 2000 in patients 6 to 20 years after coronary artery bypass graft (CABG) 
      surgery in Western Australia. A random stratified sample of 2500 was drawn from 
      8910 patients who had their first CABG surgery in 1980 to 1993. Health-related 
      quality of life was measured with Short Form 36 and EuroQol visual analogue 
      scale. RESULTS: Response was 82% (n = 2061). Health-related quality of life 
      declined with age and was similar for men and women, although scores for women 
      were worse for physical functioning. Compared with Australian population norms, 
      the age- and sex-standardized scores of survivors of CABG were generally worse, 
      mainly in the physical domain. Reported angina at the time of follow-up (33%), 
      symptoms of heart failure equivalent to New York Heart Association (NYHA) classes 
      II to IV (34%), and comorbidities such as diabetes and hypertension were 
      associated with poorer HRQOL. For both men and women without angina or heart 
      failure at follow-up, HRQOL was no different from that of the general population. 
      CONCLUSION: Overall, the quality of life among long-term survivors of CABG is 
      worse than that of the general population, the difference being mainly 
      attributable to recurrent symptoms and comorbidities. Quality of life for those 
      without angina or heart failure at follow-up was equivalent to the population 
      norms, providing an incentive to maximize efforts to abolish angina and 
      ameliorate heart failure symptoms.
FAU - Bradshaw, Pamela J
AU  - Bradshaw PJ
AD  - Institute for Clinical Evaluative Sciences, Toronto, Ontario, Canada. 
      pamela.bradshaw@ices.on.ca
FAU - Jamrozik, Konrad D
AU  - Jamrozik KD
FAU - Gilfillan, Ian S
AU  - Gilfillan IS
FAU - Thompson, Peter L
AU  - Thompson PL
LA  - eng
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
PL  - United States
TA  - Am Heart J
JT  - American heart journal
JID - 0370465
SB  - IM
MH  - Adult
MH  - Aged
MH  - Aged, 80 and over
MH  - *Coronary Artery Bypass/mortality
MH  - Female
MH  - Follow-Up Studies
MH  - Health Surveys
MH  - Humans
MH  - Linear Models
MH  - Male
MH  - Middle Aged
MH  - *Quality of Life
MH  - Sex Factors
MH  - *Survivors
MH  - Time Factors
MH  - Western Australia
EDAT- 2006/01/31 09:00
MHDA- 2006/02/14 09:00
CRDT- 2006/01/31 09:00
PHST- 2004/07/30 00:00 [received]
PHST- 2005/04/01 00:00 [accepted]
PHST- 2006/01/31 09:00 [pubmed]
PHST- 2006/02/14 09:00 [medline]
PHST- 2006/01/31 09:00 [entrez]
AID - S0002-8703(05)00383-2 [pii]
AID - 10.1016/j.ahj.2005.04.007 [doi]
PST - ppublish
SO  - Am Heart J. 2006 Feb;151(2):537-44. doi: 10.1016/j.ahj.2005.04.007.