Vol 25, No 5 (2018)
Original articles — Clinical cardiology
Published online: 2017-07-10

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Quality of life in patients with coronary artery disease treated with coronary artery bypass grafting and hybrid coronary revascularization

Karolina Gierszewska1, Izabela Jaworska2, Michał Skrzypek3, Mariusz Gąsior1, Robert Pudlo4
Pubmed: 28695977
Cardiol J 2018;25(5):621-627.


Background: Patients with stable coronary artery disease (CAD) have a worse quality of life (QoL) in comparison to patients without stable CAD. Standardized questionnaires are used in evaluation of QoL. Hybrid coronary revascularization (HCR) is a recently-introduced, minimally invasive option for patients requiring revascularization for coronary lesions. The aim of this study was to assess healthrelated quality of life (HRQoL) in patients with multivessel CAD (MVCAD), according to the mode of revascularization: coronary artery bypass grafting (CABG) or HCR, using the generic SF-36 v.2 questionnaire.

Methods: From November 2009 to July 2012, 200 patients from POLMIDES study with diagnosed MVCAD and were referred for conventional CABG were randomized to HCR (n = 98) or CABG (n =102) groups in 1:1 ratio. HRQoL were measured at two time points: hospital admission and 12-month follow up. The primary endpoint was the difference in HRQoL after the procedure.

Results: Both groups showed the same improvement of HRQoL: in HCR group: 13.5 (3.82–22.34) vs. CABG group: 10.48 (2.46–31.07); p = 0.76.

Conclusions: HRQoL in patients after both modes of revascularization significantly improved after 12 months in all domains.

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