Cardiac rehabilitation program reduces mortality in post CABG patients

Cardiac rehabilitation program reduces mortality in post CABG patients

Cardiac rehabilitation program reduces mortality in post CABG patients: Cardiac rehabilitation programs are aimed at reducing mortality and improving quality of life in individuals recovering from a cardiac event. This is a structured program of exercise training along with aggressive risk factor control and life style modification. A community based analysis of those who underwent coronary artery bypass grafting (CABG) between 1996 and 2007 has been reported in Circulation [1]. They included nearly eight hundred and fifty persons who had survived at least six months after CABG, of which just over five hundred and eighty had attended a cardiac rehabilitation program. In them, ten year all cause mortality was found to be twenty eight percent. This meant a ten year relative risk reduction of forty six percent and absolute risk reduction of 12.7 percent in all cause mortality. The study results strongly recommend participation in a structured cardiac rehabilitation program after CABG.

Another study assessed the role of first phase of cardiac rehabilitation started 72 hours after CABG [2]. They randomized 60 patients into 30 in the control group and 30 in the study group. Authors concluded that implementation of first phase augmented self efficacy with regard to independent daily activities and lessened the need for second phase of rehabilitation.

Reference

1. Quinn R Pack, Kashish Goel, Brian D Lahr, Kevin L Greason, Ray W Squires, Francisco Lopez-Jimenez, Zixin Zhang, Randal J Thomas. Participation in Cardiac Rehabilitation and Survival After Coronary Artery Bypass Graft Surgery. Circulation. 2013; 128: 590-597.
2. Seyed Reza Borzou, Sasan Amiri, Mohsen Salavati, Ali Reza Soltanian, Gholamreza Safarpoor. Effects of the First Phase of Cardiac Rehabilitation Training on Self-Efficacy Among Patients Undergoing Coronary Artery Bypass Graft Surgery. J Tehran Heart Cent. 2018 Jul;13(3):126-131.