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Blood Press. 2000;9(1):52-63. doi: 10.1080/08037051.2000.08037051.

Impact of a History of Hypertension on Symptoms and Quality of Life Prior to and at Five Years after Coronary Artery Bypass Grafting.

Blood pressure

Johan Herlitz, Kenneth Caidahl, Ingela Wiklund, Helén Sjöland, Björn Karlson, Thomas Karlsson, Maria Haglid, Marianne Hartford

Affiliations

  1. a Division of Cardiology , Sahlgrenska University Hospital , Göteborg , Sweden.

PMID: 28481645 DOI: 10.1080/08037051.2000.08037051

Abstract

AIM: To describe symptoms and other aspects of health-related quality of life (QoL) prior to and 5 years after coronary artery bypass grafting (CABG) in relation to a history of hypertension.

METHODS: Patients who underwent CABG in western Sweden were approached prior to surgery and 5 years after the operation . Health-related QoL was estimated with the Physical Activity Score, the Nottingham Health Profile and the Psychological General Well-Being Index.

RESULTS: In patients with a history of hypertension (n = 740) the 5-year mortality was 16.9% versus 12.4% among patients with no history (n = 1257; p = 0.004). Of 1717 patients available for the survey, 876 (51%) responded both prior to and 5 years after CABG. Of these, 36% had a hi story of hypertension. Compared with the situation prior to surgery there was an improvement in both hypertensive and non-hypertensive patients in terms of physical activity, symptoms of dyspnea and chest pain and other estimates of health-related QoL. However, physical activity and dyspnea improved less in hypertensive than in non-hypertensive patients.

CONCLUSION: Five years after CABG, a marked and significant improvement in terms of symptoms and other aspects of health-related QoL was observed among both hypertensive and non-hypertensive patients. However, improvement in physical activity was less marked in patients with a history of hypertension. Overall, a hi story of hypertension seemed to have a minor impact on improved well-being 5 years after coronary surgery. However, because of the limited response rate the results may not be applicable in a non-selected CABG population.

Keywords: CABG; Hypertension; Quality of Life

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