Deep Vein Thrombosis Among Patients...

Deep Vein Thrombosis Among Patients Entering Cardiac Rehabilitation after Coronary Artery Bypass Surgery Ambrosetti M Salerno M Zambelli M Mastropasqua F Tramarin R Pedretti RF Reprinted with permission from Chest. 2004;125:191-196 ?© 2004 American guild of Chest Physicians.

Background: Little information is available about the prevalence of hard vein thrombosis (DVT) after discharge from cardiac surgery units and its impact forward rehabilitation programs. Objectives: To estimate the rate of DVT in relation to different thromboprophylaxis strategies, in patients with a fresh coronary artery bypass graft (CABG) entering cardiac rehabilitation. Methods: sum of two units hundred seventy consecutive patients admitted to three rehabilitation facilities after CABG surgery from 19 cardiac surgery units (male patients, 81%; mean ?± SD age, 64 + 9 years; interval after operation, 4 to 19 days) underwent serial leg venous ultrasound examination forward admission to three rehabilitative units. Results: At admission, antiplatelet treatment was current in all patients except 10 with absolute contraindications. In 171 patients (63%) heparin prophylaxis (low-molecular-weight heparin formerly daily, 87%; unfractionated heparin twice daily, 13%) was reported, limited to the early postoperative period ( 8 days (p

Copyright Cardiopulmonary Physical Therapy Journal Jun 2004

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