SOLUTIONS GRADED A+
✔✔CASS trial showed that there is a better survival advantage with
Chapter 2: Contemporary Revascularization Procedure - ✔✔CABG compared to
medical treatment alone
✔✔BARI research showed that _____ patients fared better with CABG than with balloon
angioplasty
Chapter 2: Contemporary Revascularization Procedure - ✔✔diabetic
✔✔Stroke:
Chapter 2: Contemporary Revascularization Procedure - ✔✔is a potential complication
from CABG due to atheroembolisms that become dislodged from the proximal aorta
during the procedure
✔✔Cognitive changes
Chapter 2: Contemporary Revascularization Procedure - ✔✔may be a complication
from CABG due to intraoperative hypotension and inadequate cerebral perfusion and
use of cardiopulmonary bypass (CPB)
✔✔Mediastinitis
Chapter 2: Contemporary Revascularization Procedure - ✔✔deep sternal wound
infections
✔✔Risk factors for mediastinitis:
Chapter 2: Contemporary Revascularization Procedure - ✔✔obesity, diabetes, and/or
previous CABG
✔✔sternal nonunion
Chapter 2: Contemporary Revascularization Procedure - ✔✔Patients who have
undergone CABG should be evaluated for _________ if they continue to have sternal
pain outside the normal window for sternal precautions and caution should be used
when considering resistance training in cardiac rehab
✔✔What arrhythmia occurs in 1/3 of post CABG patients?
, Chapter 2: Contemporary Revascularization Procedure - ✔✔A-fib
✔✔arrhythmia in which there is unorganized, chaotic depolarization of the tissue of the
atria
Chapter 2: Contemporary Revascularization Procedure - ✔✔A-fib
✔✔2 main problems cause by A-fib in regards to exercise
Chapter 2: Contemporary Revascularization Procedure - ✔✔1) rapid baseline HRs 2)
HR response to exercise is exaggerated making specific THR difficult
✔✔Cardiac rehab specialist should approach patients who have had CABG many years
ago with more caution than those who have undergone recent revascularization
because:
Chapter 2: Contemporary Revascularization Procedure - ✔✔about ½ of all SVGs are
diseased or occluded in 10 years
✔✔What vessel used in CABG has excellent long term patency
Chapter 2: Contemporary Revascularization Procedure - ✔✔LIMA
✔✔Name three examples of less invasive surgery:
Chapter 2: Contemporary Revascularization Procedure - ✔✔'Off-pump bypass',
MIDCAB (minimally invasive direct CAB), Portal access CABG
✔✔AACVPR states that CABG patients can start CR as early as:
Chapter 2: Contemporary Revascularization Procedure - ✔✔1 week
✔✔Components of initial assessment:
Chapter 2: Contemporary Revascularization Procedure - ✔✔incision site check,
assessment of mood & social support, and eval of physical functioning
✔✔AHA states that stretching and flexibility can be started as early as ___ post CABG:
Chapter 2: Contemporary Revascularization Procedure - ✔✔24 hours
✔✔Percutaneous coronary intervention (PCI) encompasses