After Coronary Artery Bypass Graft Surgery

You had a coronary artery bypass graft surgery (CABG, pronounced “cabbage”). This surgery created new pathways around blocked parts of your heart's blood vessels, allowing blood to reach your heart muscle. Your doctor used a healthy blood vessel from another part of your body (a graft) to restore blood flow.

• Discuss with your doctor what you can and can't do as you recover. You will have good and bad days. This is normal. But tell your doctor if you feel depressed, have trouble sleeping, or have a persistent decrease in appetite. Although these problems are common after surgery, they can slow your recovery. It's important to seek help.
• Ask your doctor when you can drive again.
• Ask someone to stand nearby while you shower or do other activities, just in case you need help.
• Don't use very hot water while showering. It can affect your circulation and make you dizzy.
• Weigh yourself every day, at the same time of day, and in the same kind of clothes. A good way to do this is to weigh yourself in the morning when you first get out of bed and after urinating. Quick weight gain can be a sign of a problem that needs your doctor's attention.
• You may start doing light work around the house and yard after 2 to 3 weeks at home.
• Don't lift, push, or pull anything heavier than 5 to 10 pounds for 6 to 8 weeks. Your doctor may give you a specific weight restriction.
• Until approved by your doctor, don't mow the lawn, vacuum, or do other activities that could strain your breastbone.
• Hold a pillow firmly over your chest incision when you cough or take deep breaths. This will support your chest and may help to reduce your pain.
• Do breathing exercises at home as instructed by your doctor. This will help prevent pneumonia.
• Your doctor may ask you to elevate your legs when resting. Follow your doctors instructions.
• Ask your doctor when you can expect to return to work. It often depends on the type of work you do.
• Your doctor may refer you to a cardiac rehab program. Cardiac rehab is a medically supervised program. It's designed to help your heart recover and your ability to function. It prepares you for future daily activities. It's overseen by a cardiac specialist and a team of cardiac health care providers. Your program may last from 6 weeks to more than a year. The goal of cardiac rehab is to help ease your symptoms and make your heart as healthy as possible. Your program may include exercise, classes on quitting smoking, nutrition information, counseling, stress management, and occupational therapy. In some cases, you may be able to do this at home. Ask your doctor if a cardiac rehab program would help you.

You will recover faster after surgery if your pain is kept under control.

• Don't be surprised if you feel sharp pains as your breastbone heals or if you have soreness in your incision during changes in weather.
• Tell your doctor if you have questions about what you're feeling, if your medicines don't reduce your pain, or if you suddenly feel worse.

Healing takes several weeks. The bandage or dressing on your chest will likely be removed before you go home. If it's still in place, ask your doctor how you should care for it after you return home. Here's how to care for your incision:

• If there are any adhesive skin closures still on your incision, ask your doctor when you can remove them. They may fall off on their own after a week.
• When your doctor says it's okay, clean your incision every day with soap and running water.
• Gently pat the area of the incision to dry it.
• Don't use any powders, lotions, ointments, or oils on your incision until it's well healed, unless your doctor tells you to do so.
• Using a cool pack can reduce soreness and itching. Itching is common as the incision heals. Ask your doctor how to safely use a cool pack.

• Ask your doctor when you can start a walking program.
  • If you haven't already started a walking program in the hospital, start with short walks (about 5 minutes) at home. Go a little longer each day.
  • Choose a safe place with a level surface, such as a local park or mall.
  • Wear supportive shoes to prevent injury to your knees and ankles.
  • Walk with someone. It may be more fun and help you stay with it.
• Take your medicines exactly as directed. Don't skip doses.
• Stay at a weight that is healthy for you. Talk to your doctor if you need help losing weight.
• Avoid fatty and fried foods. Stick to lean meats, such as chicken or fish.
• Cut back on salt:
  • Limit canned, dried, packaged, and fast foods.
  • Don't add salt to your food at the table.
  • Season foods with herbs instead of salt when you cook.
• Don’t smoke, vape, or use other tobacco or nicotine products. If you need help quitting, talk to your doctor about quit programs and medicines. These can increase your chances of quitting for good.

Contact your doctor right away if you have:

• Chest pain or a return of the heart symptoms you had before your surgery.
• A fever of 100.4°F (38°C) or higher, or as directed by your doctor.
• Signs of infection (redness, swelling, drainage, foul smelling odor, or warmth) at the incision site.
• Weight gain of more than 2 pounds in 1 day, more than 5 pounds in 1 week, or whatever weight gain you were told to report by your doctor.
• New or increased swelling in your hands, feet, or ankles.
• Unrelieved pain at the incision site.
• A fast, slow, or irregular pulse that goes back to normal promptly.
• Abdominal pain that keeps coming back.
• Nausea, vomiting, or constipation.
• Trouble urinating.
• Bleeding that is controlled with pressure or that stops on its own.

Call 911if you have:

• New, unusual, or worsening chest pain.
• Pain that is typical for your angina and doesn't go away promptly with medicine or rest.
• New, unusual, or worse trouble breathing.
• Uncontrollable bleeding from a wound.
• Dizziness or faintness that doesn't go away promptly when you sit or lie down.
• An unusually fast, slow, or irregular pulse that keeps happening.