Coronary Artery Bypass

Publication Title: 
The Annals of Thoracic Surgery

BACKGROUND: Diabetes is commonly regarded as a risk factor for mortality and morbidity after coronary artery bypass surgery. METHODS: Between April 1997 and December 2002, 6,033 consecutive patients underwent isolated coronary artery bypass surgery. Eight hundred and fourteen (13.5%) patients had diabetes (530 oral-dependent, 284 insulin-dependent). Patients with diet-controlled diabetes were classified as nondiabetics. Deaths occurring over time were described using Kaplan-Meier techniques.

Author(s): 
Kubal, Chandrasahekhar
Srinivasan, Arun K.
Grayson, Antony D.
Fabri, Brian M.
Chalmers, John A. C.
Publication Title: 
Psychosomatic Medicine

OBJECTIVE: Optimism is associated with reduced cardiovascular mortality, but its impact on recovery after acute coronary syndrome (ACS) is poorly understood. We hypothesized that greater optimism would lead to more effective physical and emotional adaptation after ACS and would buffer the impact of persistent depressive symptoms on clinical outcomes. METHODS: This prospective observational clinical study took place in an urban general hospital and involved 369 patients admitted with a documented ACS. Optimism was assessed with a standardized questionnaire.

Author(s): 
Ronaldson, Amy
Molloy, Gerard J.
Wikman, Anna
Poole, Lydia
Kaski, Juan-Carlos
Steptoe, Andrew
Publication Title: 
Comprehensive Therapy

The heart has been regarded throughout history as the central core of life and emotions, of kindness and generosity, courage and grief. Cardiac disease can be overwhelming for both the patient and for the partner, and fear of death is a common and quite normal response. Sexual activity after convalescence is a valuable incentive for patients to undergo rehabilitation. Self-confidence and satisfaction can be greatly enhanced by affectionate closeness, and prolonged foreplay can be savored at any age.

Author(s): 
Renshaw, D. C.
Karstaedt, A.
Publication Title: 
Comprehensive Therapy

The heart has been regarded throughout history as the central core of life and emotions, of kindness and generosity, courage and grief. Cardiac disease can be overwhelming for both the patient and for the partner, and fear of death is a common and quite normal response. Sexual activity after convalescence is a valuable incentive for patients to undergo rehabilitation. Self-confidence and satisfaction can be greatly enhanced by affectionate closeness, and prolonged foreplay can be savored at any age.

Author(s): 
Renshaw, D. C.
Karstaedt, A.
Publication Title: 
Applied nursing research: ANR

An increasing number of women who have coronary artery disease have undergone heart surgery and are living alone. This qualitative descriptive study identified four primary themes that constituted essential structures of the post-recovery experience for 12 older women living alone after coronary artery bypass surgery.

Author(s): 
Robinson, Anne White
Publication Title: 
Comprehensive Therapy

The heart has been regarded throughout history as the central core of life and emotions, of kindness and generosity, courage and grief. Cardiac disease can be overwhelming for both the patient and for the partner, and fear of death is a common and quite normal response. Sexual activity after convalescence is a valuable incentive for patients to undergo rehabilitation. Self-confidence and satisfaction can be greatly enhanced by affectionate closeness, and prolonged foreplay can be savored at any age.

Author(s): 
Renshaw, D. C.
Karstaedt, A.
Publication Title: 
Inquiry: A Journal of Medical Care Organization, Provision and Financing

This paper applies instrumental variable (IV) techniques and estimates the average benefits of invasive surgical treatments for marginal acute myocardial infarction (AMI) patients by insurance coverage. The study uses data from the Agency for Healthcare Research and Quality's Healthcare Cost and Utilization Project (HCUP), State Inpatient Databases for the state of Washington, for years 1988-1993. We observed differences in average benefits for marginal patients across insurance subpopulations that cannot be explained by differences in measured clinical circumstances.

Author(s): 
Brooks, J. M.
McClellan, M.
Wong, H. S.
Publication Title: 
The Journal of the American Society of Psychosomatic Dentistry and Medicine
Author(s): 
Deyoub, P. L.
Publication Title: 
The American Journal of Clinical Hypnosis

We studied 32 coronary bypass patients to examine the effect of hypnosis on recovery from surgery. The patients were assessed for hypnotizability with the Hypnotic Induction Profile (HIP) and assigned to experimental groups with a random stratification procedure to equate for differences in hypnotizability, age, and severity of illness. We taught patients in groups one and two formal hypnosis with different treatment strategies; patients in group three were not taught formal hypnosis or a treatment strategy.

Author(s): 
Greenleaf, M.
Fisher, S.
Miaskowski, C.
DuHamel, K.
Publication Title: 
Journal of Alternative and Complementary Medicine (New York, N.Y.)

The effects of complementary techniques and alternative medicine on allopathic therapies is generating much interest and research. To properly evaluate these techniques, well controlled studies are needed to corroborate the findings espoused by individuals practicing complementary medicine therapies. To this end, we evaluated the role of one of these therapies, self-hypnosis relaxation techniques, in a prospective, randomized trial to study its effects on quality of life after coronary artery bypass surgery. Subjects were randomized to a control group or a study group.

Author(s): 
Ashton, R. C.
Whitworth, G. C.
Seldomridge, J. A.
Shapiro, P. A.
Michler, R. E.
Smith, C. R.
Rose, E. A.
Fisher, S.
Oz, M. C.

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