Effects of a comprehensive cardio-vascular rehabilitation programme in modifiable risk factors and quality of life following CABG in Indian population in Mumbai
AuthorsKhialani, Shraddha M.
MetadataShow full item record
AbstractThe prevalence of Coronary Artery Disease (CAD) has progressively increased in India during the latter half of the last century. Cardiac rehabilitation (CR) programme has shown to modify coronary risk factors, improve quality of life and reduce morbidity and mortality. The aim ofthis dissertation is to evaluate the effects of a short term (three months) comprehensive cardiovascular rehabilitation programme in Indian patients, in Mumbai, having undergone Coronary Artery Bypass Graft (CABG) surgery on modifiable risk factors and Health Related Quality of Life. 50 patients (43 males, average age 57.4 years and 7 females, average age 65 years) having undergone CABG at the Asian Heart Institute, Mumbai formed a part of the study. 25 patients who opted for Cardiac Rehabilitation (CR) services formed the Rehab Group and those who did not formed the Control Group (25patients). CR service was a three month programme that included exercises thrice a week under telemetry supervision, nutrition counseling, education about risk factors and introduction to Yoga and meditation techniques. Measurements of all modifiable risk factors - Body Mass Index (BMI), Waist Circumference, Blood Pressure (BP), Fasting Blood Sugars (FBS), Post Prandial (PP), Lipid Profile- HDL, LDL, Triglycerides (TGs), Total Cholesterol (TC), Smoking Status and Health Related Quality of Life (HRQoL) using 36-Item Short Questionnaire (SF- 36) was taken at baseline and after three months. The exercise capacity, using the 6 Minute Walk Test was measured only for the patients of the Rehab Group. The above measurements taken for both the groups at baseline and post three months were analyzed using the Paired T Test while the comparison in-between the groups was done using the Unpaired or the Independent Sample T Test. All the data was analyzed using the SPSS Version 16.0. The change in all modifiable risk factors and Health Related Quality of Life from baseline to post three months is tabulated. The results show that there is significant difference in BMI, Lipid Profile (except HDL-C of Control Group), Blood Pressure (of Hypertensives only), Fasting and Post Prandial Blood Sugars (of Diabetics) and all domains of the SF 36 questionnaire of both the rehab and control group from baseline to three months. However, except for the waist circumference, HDL cholesterol and Blood Pressure (of Normotensives), the improvements have been significantly more in the Rehab Group than the Control Group. The percentage of smokers in the rehab group reduced from 68% at baseline to 16% post three months, while that in the control group reduced from 64% at baseline to 28% post three months. The 6 Minute Walk Test measured for the rehab group only shows significant improvement in the distance covered post rehabilitation. Post CABG all patients have shown improvement in modifiable risk factors and quality of life. However, those who attended comprehensive cardiac rehabilitation programme showed more improvements than those who did not avail these facilities.
PublisherUniversity of Chester
TypeThesis or dissertation
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