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Pulmonary function 4 months after coronary artery bypass graft surgery
Örebro universitet, Institutionen för hälsovetenskap och medicin. Department of Medical Sciences, Clinical Physiology, University Hospital, Uppsala; Department of Physiotherapy and Thoracic Surgery, Örebro University Hospital, Örebro.
Department of Neuroscience, Section of Physiotherapy, University Hospital, Uppsala, Sweden .
Department of Occupational and Environmental Medicine, Örebro University Hospital, Örebro,Sweden.
Department of Thoracic Anaesthesia, Huddinge Hospital, Huddinge, Sweden.
2003 (Engelska)Ingår i: Respiratory Medicine, ISSN 0954-6111, E-ISSN 1532-3064, Vol. 97, nr 4, s. 317-322Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

The objective of this study was to describe the pulmonary function and pain 4 months after coronary artery bypass graft surgery. Twenty-five male patients performed pulmonary function tests before surgery, on the 4th postoperative day and 4 months after surgery. A severe reduction in pulmonary function was present after surgery. Four months postoperatively, the patients still showed a significant decrease (6-13% of preoperative values) in vital capacity (P<0.001), inspiratory capacity (P<0.001), forced expiratory volume in 1 s (P<0.001) peak expiratory flow rate (P<0.001), functional residual capacity (P=0.05) total lung capacity (P<0.001) and single-breath carbon monoxide diffusing capacity (P<0.01). Residual volume and single-breath carbon monoxide diffusing capacity per litre of alveolar volume had returned to the preoperative level. Four months postoperatively, the median values for sternotomy pain while taking a deep breath was 0.2 and while coughing 0.3 on a 10 cm visual analogue pain scale. In conclusion, a significant restrictive pulmonary impairment persisting up to 4 months into the postoperative period was found after CABG. Measured levels of pain were low and could not explain the impairment.

Ort, förlag, år, upplaga, sidor
2003. Vol. 97, nr 4, s. 317-322
Nyckelord [en]
Coronary artery bypass; Pain; Postoperative complications; Respiratory function tests; Thoracic surgery
Nationell ämneskategori
Sjukgymnastik Kardiologi
Forskningsämne
Kardiologi
Identifikatorer
URN: urn:nbn:se:oru:diva-34057DOI: 10.1053/rmed.2002.1424ISI: 000181959000006PubMedID: 12693792Scopus ID: 2-s2.0-0037383730OAI: oai:DiVA.org:oru-34057DiVA, id: diva2:702993
Tillgänglig från: 2014-03-05 Skapad: 2014-03-05 Senast uppdaterad: 2017-12-05Bibliografiskt granskad

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Westerdahl, Elisabeth

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