Rapid Communication - Journal of Cholesterol and Heart Disease (2023) Volume 7, Issue 4
From plaque formation to cardiovascular consequences: Demystifying atherosclerosis
Barnela Chinchiole *
Department of Pharmacy, Science, and Technology, George Emil Palade University of Medicine, Romania
- *Corresponding Author:
- Barnela Chinchiole
Department of Pharmacy, Science, and Technology
George Emil Palade University of Medicine
Romania
E-mail: chenmao@ncu.edu.cn
Received:02-Aug-2023, Manuscript No. AACHD-23-112267; Editor assigned:04-Aug-2023, PreQC No. AACHD-23-112267 (PQ); Reviewed:18-Aug-2023, QC No. AACHD -23-112267; Revised:23-Aug-2023, Manuscript No. AACHD-23-112267 (R); Published:30-Aug-2023, DOI: 10.35841/aachd-7.4.159
Citation: Chinchiole B. Impact of preoperative cardiac rehabilitation on postoperative recovery in coronary artery bypass grafting patients. J Cholest Heart Dis 2023;7(4):159
Introduction
Coronary artery bypass grafting (CABG) is a surgical procedure that improves blood flow to the heart by bypassing blocked or narrowed coronary arteries. While CABG has shown significant success in treating coronary artery disease, the recovery process can be challenging for patients. Preoperative cardiac rehabilitation (CR) programs have emerged as a potential strategy to optimize patients' physical and psychological health before undergoing CABG. This article aims to explore the impact of preoperative CR on postoperative recovery in CABG patients [1,2].
Preoperative CR programs typically involve structured exercise training, which can improve patients' cardiovascular fitness, muscular strength, and endurance. Engaging in regular physical activity before surgery may lead to better postoperative outcomes by enhancing patients' physiological reserve and overall physical capacity. CABG surgery can cause anxiety and stress for patients. Preoperative CR programs often incorporate psychosocial support and education, which help patients manage anxiety, improve coping skills, and establish realistic expectations about the surgical procedure and recovery process. Psychological preparation can positively influence patients' mental well-being and promote a smoother transition into the postoperative phase
Studies have suggested that preoperative CR may lead to a reduction in postoperative complications, such as surgical site infections, arrhythmias, and respiratory complications. The improved physical fitness and cardiovascular health achieved through CR can enhance patients' ability to tolerate the surgical stress and reduce the risk of adverse events. Preoperative CR has been associated with improved functional capacity, including increased exercise tolerance and better performance on functional assessments. Patients who undergo CR before CABG may experience faster recovery of physical function and a shorter hospital stay [3,4].
Engaging in preoperative CR can enhance patients' overall quality of life by reducing symptom burden, improving mood, and promoting self-confidence. By optimizing physical and psychological well-being before surgery, patients may experience a smoother transition into the postoperative phase, leading to a better overall recovery experience. Despite the potential benefits, the implementation of preoperative CR programs in routine clinical practice can face various challenges, including resource limitations, patient adherence, and logistical constraints. Future research should focus on optimizing program delivery, identifying strategies to overcome barriers, and evaluating long-term outcomes to further establish the effectiveness of preoperative CR in CABG patients [5].
Conclusion
Preoperative cardiac rehabilitation holds promise as an intervention to optimize postoperative recovery in coronary artery bypass grafting patients. The integration of structured exercise training, psychosocial support, and education can lead to improved outcomes, reduced complications, enhanced functional capacity, and better overall well-being. Further research and implementation efforts are warranted to establish preoperative CR as a standard practice in the care of CABG patients and maximize their postoperative recovery potential.
References
- Alexander JH, Smith PK. Coronary-artery bypass grafting. N Engl J Med. 2016;374(20):1954-64.
- Buffolo E, De Andrade JC, Branco JN, et al. Coronary artery bypass grafting without cardiopulmonary bypass. Ann Thorac Surg. 1996;61(1):63-6.
- Hannan EL, Racz MJ, Walford G, et al. Long-term outcomes of coronary-artery bypass grafting versus stent implantation. N Engl J Med. 2005;352(21):2174-83.
- Acar C, Jebara VA, Portoghese M, et al. Revival of the radial artery for coronary artery bypass grafting. Ann Thorac Surg. 1992;54(4):652-60.
- Hawkes AL, Nowak M, Bidstrup B, et al. Outcomes of coronary artery bypass graft surgery. Vasc Health Risk Manag. 2006;2(4):477-84.
Indexed at, Google Scholar, Cross Ref
Indexed at, Google Scholar, Cross Ref
Indexed at, Google Scholar, Cross Ref
Indexed at, Google Scholar, Cross Ref