CORONARY ARTERY BYPASS SURGERY

CABG SURGERY - POST OPERATIVE CARE

 

CORONARY ARTERY BYPASS SURGERY ( CABG )

AFTER BYPASS SURGERY, CERTAIN PRECAUTIONS NEED TO

BE OBSERVED BY THE PATIENT IN ORDER TO ACCELERATE THE

RECOVERY PROCESS

Bypass Surgery is a major operation in which a healthy blood vessel

( artery or vein ) is used to form a bypass around a blockage in a coronary

( heart ) artery. The new blood vessel used is called a " graft " and therefore, the procedure is correctly termed as " coronary artery bypass graft " surgery. The original blockage in the artery remains as it is, but now there is adequate blood supply to the heart muscle beyond the blockage. Today coronary artery bypass is one of the most frequently performed surgical procedures.

POST SURGICAL COURSE

Early activity begins in the ICU itself, where the patient is kept for two days after the surgery. When shifted to the ward, the patient is encouraged to take a few steps at a time to avoid the ill effects of prolonged bed rest.

FIRST WEEK AT HOME

It is important for you to pace your activities at home, especially during the first week. When you do feel tired, take a short rest before resuming your activity again. At the same time, you must not give in to those tired feelings and spend the whole day in bed.

REST

While activity and exercise are important for your recovery, there is a fine line between the right activity and excessive activity. Plan your rest periods. Make sure you get adequate sleep at night - at least seven to eight hours.

EXERCISE

Exercise improves strength after surgery and also helps increase your cardiac capacity and reduce the risk for future heart disease. Avoid exercising outdoors in extreme temperature situations. Remember not to exercise within two hours of eating a meal. Wear supportive walking shoes and comfortable clothing.

After two weeks at home, the patient should enroll in a cardiac rehabilitation programme at a hospital to accelerate the recovery process.

PRECAUTIONS

Do not exercise if you note any of the following :-

  • Chest, neck, jaw, teeth, shoulder or arm pain that is unusual
  • Excessive shortness of breath
  • Dizziness or nausea
  • Ankle swelling or increase in weight
  • Heart rate too much over target
  • Joint, muscle, or ligament pain.

As instructed by the physiotherapist, continue to use your breathing exerciser after getting discharged. Coughing and deep breathing are still important to prevent lung infection. Do not lift anything heavier than three to four kg for six weeks. Heavy lifting can cause the bone in your chest to separate, and prevent it from healing. Since the chest bone was cut open at the time of surgery and then stitched close, you might experience an itch or soreness in that area. It is advisable to wait for at least two weeks after discharge from the hospital before traveling. By following these precautions, recovery after the surgery will be really fast.

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Comments 11 comments

TAHIR WASEEM 4 years ago

I HAVE DONE CABG SURGERY FROM P.I.C PAKISTAN SEND SOME LIFETIME PRECAUTIONS

THANKS


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Kulsum Mehmood 5 years ago from Nagpur, India Author

Thank you paulh for sharing your first-hand experience with CABG Surgery. This will boost the morale of the patients who have to undergo this surgery in near future.


paulh 5 years ago

I'd like to give people who have recently had CABG a little hope. I had the surgery 2 years ago and I am feeling better than 100%. I am now able to run 10 miles every other day. I lift weights on non-running days. At 52 I have no trouble keeping up with people much younger. If you watch your diet, exercise, take your medication and avoid excess stress you will have a long, healthy life.


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Kulsum Mehmood 7 years ago from Nagpur, India Author

Hi ravikumar. You must have faith in your doctor. If he says after ECG and blood tests that there is nothing to worry about, you must rest assured that everything is okay with your heart. Healing of the surgical wounds is actively going on in your body after a recent bypass surgery. You have to allow the nature to do its part. May God Bless you. Thanks for stopping by.


ravikumar 7 years ago

I have done my CABG byepass here in dubailast march'09 and recovering slowly. I feel sometimes kind of Flash or pain in my chest again and very sacred. Dr.took ECG and bllod test and cofirmed nothing tro worry. But still the pain comes sometimes for 3-6 seconds and going. I'm very scared. What may be the cause of this??


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Kulsum Mehmood 7 years ago from Nagpur, India Author

Best wishes moonlake. I pray to God that all be well with you. If you leave everything in God's hand, you will see God's hand in everything. May God Bless you.


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moonlake 7 years ago from America

I go for a heart cath on Wednesday, not crazy about doing this but I guess I have to. The doctor said one artery is 75% blocked. Have no idea what will happen maybe stents maybe bypass surgery. I did not want to have this done because I felt it was silly it wasn't that bad just tired. No chest pain no shortness of breath just so tired. I had two heart attacks when I was 38 so I have done pretty well but it has finally caught up with me and I knew someday it would and something else would happen. It's all in the hands of the good lord now and a good heart doctor.

Good hub full of good information.


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Kulsum Mehmood 7 years ago from Nagpur, India Author

My pleasure Basha.


Basha 7 years ago

Thank you madam for your immediate response. Actually I am in muscat and will check if Evion is available, or some alternative. JazakaAllah. Wish you and your family the very best. Regards

Basha


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Kulsum Mehmood 7 years ago from Nagpur, India Author

Thank you Basha for your comment. For muscular pain while walking you can take Vitamin E 500 mgs capsules once a day for a month. Here in India we get these capsules under the trade name of "Evion". Also wear slightly tight fitting socks so as to support the legs. But the elastic should not be too tight. Thank you for stopping by.


Basha 7 years ago

Quite informative and thanks. Is there anything to be done for muscular pain while walking (post cabg surgery) Thanks in advance

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