Coronary heart disease risk factors before and after bypass surgery: results of a controlled trial on multifactorial rehabilitation

The effect of a three-phase multfactorial institution-based rehabilitation programme on coronary heart disease (CHD) risk factors was studied in an open randomised trial comprising 228 patients undergoing coronary artery bypass surgery allocated into a rehabilitation (R) group (n = 119) anda hospita...

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Bibliographic Details
Published in:European heart journal 1992-02, Vol.13 (2), p.232-237
Main Authors: ENGBLOM, E., RÖNNEMAA, T., HÄMÄLÄINEN, H., KALLIO, V., VÄNTTINEN, E., KNUTS, L.-R.
Format: Article
Language:English
Subjects:
Adrenergic beta-Antagonists - therapeutic use
Aortocoronary bypass
Biological and medical sciences
Blood Glucose - metabolism
blood pressure
Blood Pressure - physiology
Body Weight - physiology
Cardiology. Vascular system
Cholesterol - blood
Cholesterol, HDL - blood
Combined Modality Therapy
Coronary Artery Bypass
Coronary Disease - blood
Coronary Disease - etiology
Coronary Disease - rehabilitation
Coronary heart disease
diet
Exercise
exercise training
Female
Follow-Up Studies
Heart
Humans
Male
Medical sciences
Middle Aged
Postoperative Complications - blood
Postoperative Complications - etiology
rehabilitation
serum lipids
Smoking
Triglycerides - blood
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Summary:The effect of a three-phase multfactorial institution-based rehabilitation programme on coronary heart disease (CHD) risk factors was studied in an open randomised trial comprising 228 patients undergoing coronary artery bypass surgery allocated into a rehabilitation (R) group (n = 119) anda hospital (H = control) group (n = 109). Follow-up examinations were performed at 6 and 12 months. Serum total cholesterol and triglyceride levels decreased significantly in both groups during follow-up. These decreases were not significantly dfferent between the R and H groups. Serum high density lipoprotein (HDL) cholesterol level increased significantly at 6 and 12 months in the R group, but not in the H group. The differences in the changes between the groups were not significant. The ratio of serum HDL cholesterol to total cholesterol increased significantly in the R group from the preoperative value of 0.154 to 0.179 (P
ISSN:0195-668X
1522-9645
DOI:10.1093/oxfordjournals.eurheartj.a060152