Chest pain after coronary artery bypass: relation to coping capacity and quality of life

Scand Cardiovasc J. 2002 Feb;36(1):41-7. doi: 10.1080/140174302317282375.


Objective: To investigate relations between chest pain after coronary artery bypass grafting (CABG), quality of life (QoL), and coping capacity.

Design: Two groups were included, Group I (n = 111) was evaluated before and 1 year postoperatively, and Group II (n = 102) once, at 3 years. The questionnaire included parts of the Seattle angina questionnaire, one question concerning chest pain, coping capacity (sense of coherence), emotional state, the Psychological general well-being index, and a global QoL question.

Results: Chest pain was significantly related to lower coping capacity (at 1 year) and lower QoL scores (at 1 and 3 years). Changes of coping capacity and emotional state from before to 1 year after the CABG did not reach statistical significance in the chest pain group while the no chest pain patients had significantly better emotional state. The relation between chest pain and worse QoL was significantly reduced by high coping capacity.

Conclusion: Independent of the direction of causality, the patient's coping capacity and experienced chest pain is highly related.

Publication types

  • Comparative Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adaptation, Psychological*
  • Age Distribution
  • Aged
  • Angina Pectoris / epidemiology
  • Angina Pectoris / physiopathology
  • Angina Pectoris / psychology*
  • Chest Pain / physiopathology
  • Chest Pain / psychology
  • Coronary Artery Bypass / psychology*
  • Coronary Disease / psychology
  • Coronary Disease / surgery
  • Denmark
  • Female
  • Humans
  • Male
  • Middle Aged
  • Multivariate Analysis
  • Postoperative Period
  • Preoperative Care
  • Prevalence
  • Quality of Life*
  • Recurrence
  • Sampling Studies
  • Sex Distribution
  • Sickness Impact Profile
  • Statistics, Nonparametric
  • Stress, Psychological
  • Surveys and Questionnaires