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Indian Journal of Thoracic and Cardiovascular Surgery
Erschienen in:

12.07.2017 | Original Article

Does body mass index influence pulmonary function test values and functional exercise capacity after chest physiotherapy following coronary artery bypass graft

verfasst von: Ajith Soman, Gopalakrishnan Mundyat, Dhanesh Kumar, Haripriya Santhakumar

Erschienen in: Indian Journal of Thoracic and Cardiovascular Surgery | Ausgabe 2/2018

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Abstract

Purpose

Underweight (BMI < 18.5) and obese (BMI ≥ 30) patients may not tolerate coronary artery bypass graft (CABG) surgery as well as other patients. High and low body mass indices seem to pose a substantial risk of developing post-operative pulmonary complications in subjects undergoing cardiac surgery. To what extent body mass index (BMI) influences postoperative pulmonary complications has not yet been defined.

Methods

Patients posted for CABG were divided into 4 groups based on the BMI. Before and after the surgery chest physiotherapy was administered; pulmonary function tests (PFT) were performed preoperatively and on the 7th postoperative day. Six-minute Walk test (6MWT) was performed preoperatively and postoperatively on the 5th day. The values were analysed and compared among the groups.

Results

Forced expiratory volume in one second (FEV1), Forced vital capacity (FVC) and Vital Capacity (VC) were significantly lesser in underweight and obese groups (p = 0.001). In 6MWT the maximum reduction in the distance covered was in the underweight group.

Conclusion

The underweight group experienced the greatest reduction in pulmonary function test values and 6MWT values after CABG.
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Metadaten
Titel
Does body mass index influence pulmonary function test values and functional exercise capacity after chest physiotherapy following coronary artery bypass graft
verfasst von
Ajith Soman
Gopalakrishnan Mundyat
Dhanesh Kumar
Haripriya Santhakumar
Publikationsdatum
12.07.2017
Verlag
Springer Singapore
Erschienen in
Indian Journal of Thoracic and Cardiovascular Surgery / Ausgabe 2/2018
Print ISSN: 0970-9134
Elektronische ISSN: 0973-7723
DOI
https://doi.org/10.1007/s12055-017-0528-8

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