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Exercise Tolerance and Work Ability Following Aorto-coronary Bypass Surgery

Jan Lundbom, Department of Surgery, Correspondence to: Jan Lundbom MD Department of Surgery Regionsykehuset i Trondheim 7006 Trondheim, Norway

Hans Olav Myhre

Hans Olav Myhre, Department of Surgery

Brynjulf Ystgaard

Brynjulf Ystgaard, Department of Surgery

Svend Aakhus

Svend Aakhus, Department of Cardiology, Trondheim University Hospital

Arve Tromsdal

Arve Tromsdal, Department of Cardiology, Trondheim University Hospital

Randi Sudbø

Randi Sudbø, Department of Internal Medicine, Namdal sykelms

Bjørnar Klykken

Bjørnar Klykken, Department of Internal Medicine, Innherred sykehus

Tore Salvesen

Tore Salvesen, Department of Internal Medicine, Orkdal Sanitetsforenings Sjukehus

Gunnar Rongved

Gunnar Rongved, Department of Internal Medicine, Kristiansund sykehus

Torstein Holm Morstøl

Torstein Holm Morstøl, Department of Internal Medicine, Sentralsykehuset i Møre- og Romsdal

Audun Heskestad

Audun Heskestad, Department of Internal Medicine, Fylkessjukehuset i Molde

Randi Hammervold

Randi Hammervold, Trondheim College of Economics and Business Administration

Olaf W. Levang

Olaf W. Levang, Department of Cardiology, Trondheim University Hospital

This investigation was performed to study the reasons for receiving disability pension after aortocoronary bypass surgery. During the period March 1983 to November 1985, 250 patients underwent aortocoronary bypass surgery. At a mean follow-up of 4.9 years (range 3.6–6.7) after the operation, 31 patients were dead. Of the 219 survivors, all except four underwent a follow-up examination including an exercise test. The mean physical work capacity had increased from 92.2 W preoperatively to 119.3 W at follow-up (p < 0.001). At follow-up, however, 72 patients had received disability pension. The percentage of positive ECG-tests were equal among those who were working and those who had received disability pension. We suggest that, among those who had received disability pension, about 50% were in sufficient physical condition to manage their previous jobs or another type of job. Reasons other than physical working capacity played an important part as criteria for receiving disability pension.

Key Words: aortocoronary bypass surgery • exercise test • physical work capacity • work ability • disability pension

Scandinavian Journal of Public Health, Vol. 22, No. 4, 303-308 (1994)
DOI: 10.1177/140349489402200410


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