International Journal of Clinical & Medical Surgery
ISSN: 3069-2067 | DOI: 10.64030/3069-2067
Hafiz Muhammad Faizan Ali, Ovais Ullah Shirazi, Waqas Akram, Mahtab Ahmad Khan, Muhammad Umer Bashir Rana, Muhammad Hamza Arshad, Saghir Abbas, Nayyer Shamim, Waleed Ahmad, Nehal Ahmad, Zoha Yaqoob, Kinza Kaleem, Hassan Irfan, Itzaz Aslam and Ali Akhtar
Background: Coronary artery disease (CAD) severely impacts quality of life (QOL), with percutaneous transluminal coronary angioplasty (PTCA) and coronary artery bypass grafting (CABG) being prevalent procedures. This study aimed to assess quality of life outcomes between PTCA and CABG patients in Lahore, Pakistan, focusing on physical, psychological, social, and environmental aspects.
Methodology: A cross-sectional research was performed at the Punjab Institute of Cardiology from January to April 2025, including 408 adult patients with coronary artery disease (256 undergoing percutaneous transluminal coronary angioplasty and 152 undergoing coronary artery bypass grafting), chosen by systematic sampling. The WHOQOL-BREF questionnaire evaluated quality of life across four dimensions, with values converted to a 0–100 scale. Data were examined using SPSS version 27, including descriptive statistics, independent t-tests, and chi-square tests.
Results: The mean age was 51.03 ± 9.80 years, with 69.6% male participants. PTCA patients showed significantly higher mean QOL scores in physical health in comparison to CABG patients (p=0.009), with no significant difference in psychological health (p=0.326), social relationships (p=0.071), and environment domains. PTCA patients had more physical activity restrictions (39.8% vs. 27.6%, p=0.013), while CABG patients reported higher body pain (46.7% vs. 37.8%, p=0.080). Only 33.1% rated their QOL as good, with 18.9% reporting very poor QOL.
Conclusion: PTCA patients exhibited better short-term QOL, particularly in physical health, compared to CABG patients. However, the limited study duration and hospital-based setting suggest the need for longitudinal research to evaluate longterm QOL outcomes