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European Heart Journal 1985 6(2):176-180;
Copyright © 1985 by the European Society of Cardiology.
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© 1985 The European Society of Cardiology

Determinants of work capability and employment after coronary artery surgery

K. K. MISRA, B. N. KAZANCHI, G. J. DAVIES, S. WESTABY, R. N. SAPSFORD and H. H. BENTALL

Division of Cardiovascular Disease, Royal Postgraduate Medical School, Hammersmith Hospital Du Cane Road, London W12 OHS, U.K

Received 17 February 1984; revised 22 October 1984; .

Address for correspondence: Kanshal K. Misra. MRCP, Dudley Road Hospital, Birmingham BI8 7QH, U.K.

Requests for reprints to: Hugh H. Bentall, FRCS, Professor of Cardiac Surgery, Department of Surgery, Royal Postgraduate Medical School. Hammersmith Hospital. Du Cane Road, London W12 0HS.U.K.

Abstract

In 120 patients subjected to coronary artery surgery we have investigated employment statusand work capability in relation to age, pre-operative ventricular function and extent of coronary artery disease, perioperative infarction and post-operative angina. The patients were followed up for 6 to 23 months (mean 10 months). Fifty-three out of 74 patients (72%) employed before the onset of angina, returned to work after operation. Return to work was more likely in patients working immediately prior to surgery and in patients less than 45 years old (P <0.05). Sixty patients (50%) reported a return to normal work capability, the most striking changes occurring in those less than 45 years old (P < 0.02). Pre-operative left ventricular (LV) function and extent of coronary disease and mode of employment did not correlate withpost-operative employment status but normal LV function was related to improvement in work capability (P<0.02). Return to work after coronary bypass surgery is mainly due to angina reliefbut is also related to age and pre-operative work status.

Key Words: Employment • work capacity evaluation • aortocoronary bypass


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