title: Relief of symptoms and improvement of quality of life five years after coronary artery bypass grafting in relation to preoperative ejection fraction.
abstract: OBJECTIVE
  To describe the relief of symptoms and improvement in Quality of Life (QoL) 5 years after coronary artery bypass grafting (CABG) in relation to preoperative ejection fraction (EF).
  
  
  METHODS
  Patients who underwent CABG between 1988 and 1991 in western Sweden were approached with an inquiry prior to surgery and 5 years after the operation. Quality of Life was estimated with three different instruments: Physical activity score, Nottingham Health Profile and Psychological General Well-being Index.
  
  
  RESULTS
  Among all patients who underwent CABG (n = 1904) the 5-year mortality rate was 27% in those with EF < 0.40 and 12% in those with EF > or = 0.40 (p < 0.0001). In all, 849 patients, of whom 58 (7%) had EF < 0.40 participated in the evaluation. Neither physical activity, symptoms of chest pain, dyspnea nor any indices of QoL were significantly associated with preoperative EF. Improvement in physical activity, symptoms of chest pain and dyspnea and various estimates of QoL appeared similar and marked regardless of preoperative EF.
  
  
  CONCLUSIONS
  Among survivors there was no association between preoperative EF and symptoms or various estimates of QoL 5 years after CABG. Improvement in symptoms and QoL were not dependent on preoperative EF.
authors.affiliation: Division of Cardiology, Sahlgrenska University Hospital, Goteborg, Sweden.
authors.forename: J
authors.initials: J
authors.lastname: Herlitz
authors.forename: I
authors.initials: I
authors.lastname: Wiklund
authors.forename: H
authors.initials: H
authors.lastname: Sjöland
authors.forename: B W
authors.initials: BW
authors.lastname: Karlson
authors.forename: T
authors.initials: T
authors.lastname: Karlsson
authors.forename: M
authors.initials: M
authors.lastname: Haglid
authors.forename: M
authors.initials: M
authors.lastname: Hartford
authors.forename: K
authors.initials: K
authors.lastname: Caidahl
mesh_terms: D000223:Adaptation, Psychological; D001026:Coronary Artery Bypass / Q000534:rehabilitation*; D015444:Exercise; D005260:Female; D005500:Follow-Up Studies; D006304:Health Status; D006334:Heart Function Tests; D006801:Humans; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D011788:Quality of Life; D018709:Statistics, Nonparametric; D013548:Sweden