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Work capacity of patients with ischemic heart disease after aortocoronary bypass

Vinogradov, S.V.; Malikov, V.E.

Kardiologiia 30(7): 31-34

1990

ISSN/ISBN: 0022-9040
PMID: 2232459
Document Number: 362043
A comparison was made of the clinicofunctional efficiency and social significance of surgical therapy techniques in patients with coronary heart disease (CHD). One hundred and seventy eight patients aged 25 to 59 years who had been operated on in the A. N. Bakulev Institute of Cardiovascular Surgery from 1984 to 1987 were examined. In prolonged periods (mean 2.8 +/- 0.2 years) following surgeries, 85.6% of the patients showed clinical improvement as compared to the preoperative period. At the same time, a total of 43.3% of the patients returned to work, the figure being much less than that observed in the preoperative period. (78.1%). Following the surgery, there was a high rate (94.4%) of disability. Two groups of factors were defined, which determined the patients' return to work after coronary aorta bypass grafting. The low work resumption and high disability rates after surgery are due to the lack of a national social rehabilitation programme for this group of patients.

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