Abstract
During the past two decades coronary artery bypass surgery (CABG) has become a widespread therapeutic tool in the management of coronary artery disease. Extensive scientific research has been performed leading to considerable technical mastery of the procedure and refinement of the selection criteria. As a result the number of patients undergoing CABG has gradually increased. A few controlled trials have been undertaken to evaluate the results of CABG [1–4]. In these studies the overall survival rates improved in favour of surgical patients, provided they responded to a specific range of criteria. The level of angina decreased markedly after surgery. However, chest pain recurred in a large number of patients within seven years. The main end-points in these trials were mortality and morbidity. However, undergoing cardiac surgery implies a life-threatening situation for most patients and their families. Some patients fail to adapt and do not function well psychologically. Increased presurgical anxiety and depression have already been noted by several authors [5,6] even beyond the level of clinical psychological dysfunction.
Chapter PDF
References
CASS Principal Investigators and their associates: Coronary-artery surgery study (CASS):A randomized trial of coronary artery bypass surgery. Quality of life in patients randomly assigned to treatment groups. Circulation 1983;5:951–960.
CASS Principal Investigators and their associates: Myocardial infarction and mortality in the coronary artery surgery study (CASS) Randomized trial. New Engl J Med 1984;12:750–758.
Veterans Administration: Eleven-year survival in the Veterans Administration randomized trial of coronary bypass surgery for stable angina. New Engl J Med 1984;21:1333–1339.
European CSSG: Long-term results of prospective-randomised study of coronary artery bypass surgery in stable-angina. Lancet 1982;1174–1180.
Klonoff H., Campbell C., Kavanagh-Gray D., Mizgala H., Munro I.: Two-year follow-up study of coronary bypass surgery. J Thorac Cardiovasc Surg 1989;97:78–85.
Matthews A., Ridgeway V.: Personality and surgical recovery: a review. Brit J Clin Psych 1981;20:243–260.
Arrindell W.A., Ettema J.H.M.: Handleiding bij een multidimensioneie psychopathologieindicator. Swets and Zeitlinger 1986;40 pp.
Van Der Ploeg H.M., Defares P.B., Spielberger C.D.: Handleiding bij de zelf-beoordelings vragenlijst. Swets and Zeitlinger 1980;35 pp.
Erdman R.A.M.: Medisch-psychologische vragenlijst voor hartpatienten. Swets and Zeitlinger 1982;16 pp.
Shaw R.E., Cohen F., Fishman-Rosen J., Murphy M.C., Stertzer S.H.: Psychological predictors of psychological and medical outcomes in patients undergoing coronary angioplasty. Psychosom Med 1986:8:582–597.
Appels A.: Jenkins activity survey. Swets and Zeitlinger 1985;47 pp.
Appels A., Hoppener P., Mulder P.: A questionnaire to assess premonitory symptoms of myocardial infarction. Int J Cardiology 1987;17:15–24.
Appels A., Mulder P.: Excess fatigue as aprecursor of myocardial infarction. Eur Soc Cardiology 1988;9:758–764.
Green C.J., Millon T.H., Meacher R.B.: The MBHI: Its utilization in assessment and management of the coronary bypass surgery patient. Psychother Psychosom 1983;39:112–121.
Jenkins C.D., Stanton B.A.: Quality of life assessed in the recovery study. in: Assessment of quality of life in clinical trials of cardiovascular therapies, Le Jacq Publishing Inc., USA, 1984;266–280.
Langeluddecke P., Fulcher G., Hughes C., Tennant C.: A prospective evaluation of the psychosocial effects of coronary artery bypass surgery. J Psychosom Res 1989;1:37–45.
Magni G., Unger H.P., Valfre C., Polesei E., Cesari F.: Psychosocial outcome one year after heart surgery. Arch Intern Med 1987;147:473–477.
Mayou R., Bryant B.: Quality of life after coronary artery surgery. Q J Med, New Series 1987;239:239–248
Zyzanski St. J., Stanton B.A., Jenkins C.D., Klein M.D.: Medical and psychosocial outcomes in survivors of major heart surgery. J Psychosom Res 1981;3:213–221.
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 1992 Springer Science+Business Media Dordrecht
About this chapter
Cite this chapter
Boudrez, H. et al. (1992). Psychological status of patients before and after coronary bypass surgery. In: Walter, P.J. (eds) Quality of Life after Open Heart Surgery. Developments in Cardiovascular Medicine, vol 132. Springer, Dordrecht. https://doi.org/10.1007/978-94-011-2640-3_16
Download citation
DOI: https://doi.org/10.1007/978-94-011-2640-3_16
Publisher Name: Springer, Dordrecht
Print ISBN: 978-94-010-5166-8
Online ISBN: 978-94-011-2640-3
eBook Packages: Springer Book Archive