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Health ‐related quality of life impacts upon 5‐year survival after coronary artery bypass surgery
ConclusionsPre-CABG HRQoL scores may provide clinically relevant prognostic information beyond traditional risk models and prove useful for patient-provider shared decision-making and enhancing pre-CABG informed consent.
Source: Journal of Cardiac Surgery - November 24, 2022 Category: Cardiovascular & Thoracic Surgery Authors: Muath Bishawi, Brack Hattler, G. Hossein Almassi, Jacquelyn A. Quin, Frederick L. Grover, Joseph F. Collins, Ramin Ebrahimi, Daniel H. Wolbrom, A. Laurie Shroyer, Veterans Affairs Randomized On/Off Bypass Follow ‐up Study (ROOBY‐FS) Group Tags: ORIGINAL ARTICLE Source Type: research

Disability-free survival after major cardiac surgery: a population-based retrospective cohort study
CMAJ Open. 2021 Apr 16;9(2):E384-E393. doi: 10.9778/cmajo.20200096. Print 2021 Apr-Jun.ABSTRACTBACKGROUND: Cardiovascular research has traditionally been dedicated to "tombstone" outcomes, with little attention dedicated to the patient's perspective. We evaluated disability-free survival as a patient-defined outcome after cardiac surgery.METHODS: We conducted a retrospective cohort study of patients aged 40 years and older who underwent coronary artery bypass grafting (CABG) or single or multiple valve (aortic, mitral, tricuspid) surgery in Ontario between Oct. 1, 2008, and Dec. 31, 2016. The primary outcome was disability...
Source: cmaj - April 17, 2021 Category: General Medicine Authors: Louise Y Sun Anan Bader Eddeen Thierry G Mesana Source Type: research

Patient perspectives on left main stem revascularization strategies, the OPINION-2 study.
CONCLUSIONS: Overall, patients who are informed about risk and benefits of each treatment modality clearly favor PCI over CABG and particularly value lower short-term morbidity while being aware of higher risk of repeat revascularization. Lower educational level was associated with a higher prevalence of psychosomatic phenotypes and a 14% preference for CABG. Educational and psychosocial background matter in the revascularization strategy decision-making process. PMID: 33041162 [PubMed - as supplied by publisher]
Source: Journal of Cardiology - October 8, 2020 Category: Cardiology Authors: Nuis RJ, Jadoon A, van Dalen BM, Dulfer K, Snelder SM, Yazdi MT, Masdjedi K, den Dekker WK, Diletti R, Wilschut J, Daemen J, Lenzen MJ, Zijlstra F, Smits PC, Van Mieghem NM Tags: J Cardiol Source Type: research

Clinical outcomes of PCI with rotational atherectomy: the European multicentre Euro4C registry.
CONCLUSIONS: Despite the high level of complexity of the studied population, RA turned out to be an effective procedure with a low rate of in-hospital complications and demonstrated good immediate and mid-term results. PMID: 32250249 [PubMed - as supplied by publisher]
Source: EuroIntervention - April 8, 2020 Category: Cardiovascular & Thoracic Surgery Tags: EuroIntervention Source Type: research

A case-vignette based assessment of patient's perspective on coronary revascularization strategies, the OPINION study.
CONCLUSION: Overall, when given the choice patients seem to have a clear preference for PCI over CABG and consider stroke and bleeding important procedure-related complications. Patients with Type D personality, depression, or anxiety favor CABG. PMID: 29478878 [PubMed - as supplied by publisher]
Source: Journal of Cardiology - February 22, 2018 Category: Cardiology Authors: Masdjedi K, Daemen J, Diletti R, Wilschut J, Utens E, de Jaegere PP, Lemmert ME, Kappetein AP, Zijlstra F, van Domburg R, Van Mieghem NM Tags: J Cardiol Source Type: research

Preoperative factors associated with worsening in health-related quality of life following coronary artery bypass grafting in the ROOBY trial
Conclusions Among VA patients, less than 20% experienced worse HRQL 1year after CABG. For patients with low symptom burden at baseline, diabetes, smoking, depression, PVD, COPD, and a prior stroke, clinicians should be more cautious in pre-CABG counseling as to their anticipated HRQL improvements.
Source: American Heart Journal - December 25, 2017 Category: Cardiology Source Type: research

Comparison between off- and on-pump coronary artery bypass grafting: long-term results of a real-world registry ADULT CARDIAC
CONCLUSIONS In patients undergoing elective isolated CABG, on-pump strategy conferred a long-term survival advantage compared with off-pump strategy, particularly for patients with more extensive coronary disease. No benefits were found in terms of reduction of postoperative morbidity with the off-pump strategy. On-pump surgery should be the preferred revascularization technique, and off-pump surgery reserved for patients for whom the perioperative risk of cardiopulmonary bypass is greater than the risk of a less complete coronary revascularization.
Source: European Journal of Cardio-Thoracic Surgery - August 30, 2016 Category: Cardiovascular & Thoracic Surgery Authors: Nicolini, F., Fortuna, D., Contini, G. A., Pacini, D., Gabbieri, D., Zussa, C., De Palma, R., Vezzani, A., Gherli, T., on behalf of the RERIC (Registro dell'Emilia Romagna degli Interventi Cardiochirurgici) Investigators Tags: Molecular biology ADULT CARDIAC Source Type: research

PodMed: A Medical News Roundup From Johns Hopkins (with audio)
(MedPage Today) -- This week's topics include reducing suicide, CABG plus medicines for some people, stroke risk following a TIA, and metformin first for type 2 diabetes
Source: MedPage Today Primary Care - April 23, 2016 Category: Primary Care Source Type: news

Predictive value of the SYNTAX score for short-term cognitive outcomes after off-pump coronary artery bypass surgery
Neuropsychiatric complications of coronary artery bypass grafting (CABG) pose a significant clinical problem that concerns almost one million people undergoing this type of procedure each year worldwide [1]. The severity of these sequelae ranges from minor adverse events (postoperative cognitive decline [POCD], through delirium, depression and psychosis, to major adverse cerebrovascular events (TIA-transient ischemic attack and stroke). There were many efforts to combat this issue, including the development of new surgical techniques (e.g.
Source: International Journal of Cardiology - February 2, 2016 Category: Cardiology Authors: Wojciech Pawliszak, Krzysztof Szwed, Magdalena Szwed, Mariusz Kowalewski, Maciej Bieliński, Małgorzata Piskunowicz, Adam Sukiennik, Katarzyna Zaborowska, Lech Anisimowicz, Alina Borkowska Source Type: research

Bypass surgery an “uncommon” cause of memory loss, cognitive decline
Coronary artery bypass surgery (CABG) offers a new lease on life for thousands of people each year whose hearts aren’t getting the blood they need to work properly. But it has also been blamed for “brain fog,” a loss of memory and thinking skills that follows the procedure in some people. Such brain problems are often called cognitive impairment. The operation itself may not be to blame, according to a review in today’s Annals of Internal Medicine. For the review, a team of researchers—mostly from the U. S. Department of Veteran’s Affairs—synthesized data from 17 clinical trials and four w...
Source: New Harvard Health Information - July 22, 2015 Category: Consumer Health News Authors: Howard LeWine, M.D. Tags: Heart Health bypass surgery Coronary artery bypass surgery memory loss Source Type: news

Depression, anxiety and major adverse cardiovascular and cerebrovascular events in patients following coronary artery bypass graft surgery: a five year longitudinal cohort study
Conclusions: Generalized anxiety disorder was significantly associated with MACCE at follow-up after CABG surgery. The findings encourage further research pertaining to generalized anxiety disorder, and theoretical conceptualizations of depression, general distress and anxiety in persons undergoing CABG surgery.
Source: BioMed Central - May 25, 2015 Category: Journals (General) Authors: Phillip TullyHelen WinefieldRobert BakerJohan DenolletSusanne PedersenGary WittertDeborah Turnbull Source Type: research

Relation of Major Depression to Survival After Coronary Artery Bypass Grafting
In conclusion, we found a strong and significant association between depression and long-term survival in patients with established ischemic heart disease who underwent CABG. Depression was also associated with an increased risk for a combination of death or rehospitalization for heart failure, myocardial infarction, or stroke.
Source: The American Journal of Cardiology - June 20, 2014 Category: Cardiology Authors: Malin Stenman, Martin J. Holzmann, Ulrik Sartipy Tags: Coronary Artery Disease Source Type: research

Abstract 110: Long-Term Health Status Outcomes in Young Women with Acute Myocardial Infarction: Results from the VIRGO Study Session Title: Poster Session I
Conclusion: Compared with men, young women are more likely to have "poor" health status outcomes after AMI. This information is critically important in developing targets for gender-specific interventions to improve young women’s recovery post AMI.
Source: Circulation: Cardiovascular Quality and Outcomes - June 2, 2014 Category: Cardiology Authors: Dreyer, R. P., Strait, K. M., Lichtman, J. H., Lorenze, N., D'Onofrio, G., Bueno, H., Spertus, J. A., Krumholz, H. M. Tags: Session Title: Poster Session I Source Type: research