Raidou Vasiliki, Mitete Katerina, Kourek Christos, Antonopoulos Michael, Soulele Theodora, Kolovou Kyriaki, Vlahodimitris Ioannis, Vasileiadis Ioannis, Dimopoulos Stavros
Clinical Ergospirometry, Exercise, and Rehabilitation Laboratory, Department of First Critical Care Medicine, Evangelismos Hospital, National and Kapodistrian University of Athens, Athens 10676, Greece.
Cardiac Surgery Intensive Care Unit, Onassis Cardiac Surgery Center, Athens 17674, Greece.
World J Cardiol. 2024 Aug 26;16(8):436-447. doi: 10.4330/wjc.v16.i8.436.
Coronary heart disease and aortic stenosis are prevalent cardiovascular diseases worldwide, leading to morbidity and mortality. Coronary artery bypass grafting (CABG) and surgical aortic valve replacement (SAVR) have therapeutic benefits, including improved postoperative quality of life (QoL) and enhanced patient functional capacity which are key indicators of cardiac surgery outcome. In this article, we review the latest studies of QoL outcomes and functional capacity in patients who underwent cardiac surgery. Many standardized instruments are used to evaluate QoL and functional conditions. Preoperative health status, age, length of intensive care unit stay, operative risk, type of procedure, and other pre-, intra-, and postoperative factors affect postoperative QoL. Elderly patients experience impaired physical status soon after cardiac surgery, but it improves in the following period. CABG and SAVR are associated with increases of physical and mental health and functional capacity in the immediate postoperative and the long long-term. Cardiac rehabilitation improves patient functional capacity, QoL, and frailty following cardiac surgery.
冠心病和主动脉瓣狭窄是全球常见的心血管疾病，会导致发病和死亡。冠状动脉旁路移植术（CABG）和外科主动脉瓣置换术（SAVR）具有治疗益处，包括改善术后生活质量（QoL）和增强患者功能能力，这些是心脏手术结果的关键指标。在本文中，我们回顾了接受心脏手术患者的生活质量结果和功能能力的最新研究。许多标准化工具用于评估生活质量和功能状况。术前健康状况、年龄、重症监护病房停留时间、手术风险、手术类型以及其他术前、术中和术后因素都会影响术后生活质量。老年患者在心脏手术后不久身体状况会受损，但在随后的时期会有所改善。冠状动脉旁路移植术和外科主动脉瓣置换术在术后即刻和长期都与身心健康和功能能力的提高相关。心脏康复可改善心脏手术后患者的功能能力、生活质量和虚弱状况。
