Cognitive Outcomes After Coronary Artery Bypass Grafting

Bhamidipati, Deepak; Goldhammer, Jordan E.; Sperling, Michael R.; Torjman, Marc C.; McCarey, Melissa; Whellan, David J.

doi:10.1053/j.jvca.2016.09.028

Cited by 36 publications

(48 citation statements)

References 125 publications

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“…However, several studies have evaluated the cognitive function of the patients, who underwent cardiac surgery and coronary artery bypass grafting [29][30][31][32][33][34]; but, a few observational prospective studies have demonstrated the effect of PCI procedures on cognitive function in CAD patients [3,35].…”

Section: Discussionmentioning

confidence: 99%

Reaction Time and Anticipatory Skill in Patients Undergoing Percutaneous Coronary Intervention Compared With Normal Controls: A Pilot Study

et al. 2018

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Percutaneous Coronary Intervention (PCI) is a non-surgical procedure for the treatment of Coronary Artery Diseases (CADs). One of the most common disorders associated with these procedures is the occurrence of Cognitive Impairments (CIs). This study aimed to assess the Reaction Time (RT) and anticipatory skill of PCI patients and healthy subjects, using computer-based software as a safe and easy method. Materials and Methods: Ten male PCI patients and ten healthy male individuals participated in this cross-sectional study. Auditory choice and complex choice RT, visual choice and complex choice RT, and anticipatory skill of the low and high speed of the ball of both groups were analyzed by Speed Anticipation Reaction Test (SART) software. Results: No significant difference was seen between two groups in terms of simple auditory RT (P=0.15), auditory complex choice of RT (P=0.19), and anticipatory skills of the low speed of the ball (P=0.16). However, the performance of PCI patients was significantly worse on the simple visual RT (P=0.01), visual complex choice RT (P=0.05), and anticipatory skill of the high speed of the ball (P=0.04) compared to those of the healthy controls. Conclusion: The assessment of RT and anticipatory skill as neurocognitive tests is considered to be one of the useful methods for evaluating the cognition function of patients, who have cardiovascular diseases. Furthermore, the pilot study suggests that PCI patients had a similar or even poorer performance in cognitive function compared with healthy people.

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Section: Discussionmentioning

confidence: 99%

Reaction Time and Anticipatory Skill in Patients Undergoing Percutaneous Coronary Intervention Compared With Normal Controls: A Pilot Study

et al. 2018

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“…Выделяют два основных их типа: I тип -острое нарушение мозгового кровообращения и II тип -ПОКД (англ. -postoperative cognitive dysfunction, POCD) [31,32].…”

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“…Впервые феномен ПОКД был описан в 50-х годах прошлого столетия, однако его общепринятого определения нет до настоящего времени [32]. Как правило, под снижением когнитивного функционирования понимают падение более чем на 20% от нормального уровня показателей по меньшей мере в 20% нейропсихологических тестов, оценивающих внимание, память, способность к обучению, зрительно-пространственное восприятие, двигательные навыки и управляющие функции.…”

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“…Как правило, под снижением когнитивного функционирования понимают падение более чем на 20% от нормального уровня показателей по меньшей мере в 20% нейропсихологических тестов, оценивающих внимание, память, способность к обучению, зрительно-пространственное восприятие, двигательные навыки и управляющие функции. Существует и другое определение снижения когнитивных функций: уменьшение показателей в одном из когнитивных доменов на 1-2 стандартных отклонения при условии, что 1 стандартное отклонение равно стандартному отклонению исходного уровня когнитивных функций в изучаемом домене на общепопуляционном уровне [32].…”

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“…Было установлено, что при выписке из стационара ПОКД имелась у 53% больных, через 6 нед -у 36%, через 6 мес -у 24%, через 5 лету 42%. Впоследствии был проведен еще ряд подобных исследований [32,35,36]. На основании накопленных данных можно утверждать, что в первые 4 нед после АКШ ПОКД встречается у 40-60% пациентов, через 3 мес -у 20-30% и через полгода -у 20-30% [32].…”

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Vascular factors in the genesis of dementia and the optimization of patient management

Остроумова

Кочетков

2019

RJTAO

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The review considers the problem of cognitive impairment (CI) and dementia in patients from older age groups, as well as the safety of antidementia agents with a focus on adverse cardiovascular drug reactions. Special attention is paid to the role of cardiovascular risk factors in the genesis of CI and all types of dementia. It is emphasized that the treatment of patients with CI is primarily aimed at monitoring vascular risk factors, preventing stroke and progression of chronic cerebrovascular disease, and, therefore, improving cognitive functions. Postoperative cognitive dysfunction in elderly patients, in particular during coronary artery bypass surgery, is highlighted. Non-drug and drug measures to prevent the progression of CI and dementia are described in detail. The significant importance of multimorbidity and polypragmasia in elderly patients with dementia is noted; data on the cardiovascular safety of anti-dementia drugs are presented.

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Postoperative cognitive change after cardiac surgery predicts long‐term cognitive outcome

et al. 2020

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Cognitive Outcomes After Coronary Artery Bypass Grafting

Cited by 36 publications

References 125 publications

Reaction Time and Anticipatory Skill in Patients Undergoing Percutaneous Coronary Intervention Compared With Normal Controls: A Pilot Study

Reaction Time and Anticipatory Skill in Patients Undergoing Percutaneous Coronary Intervention Compared With Normal Controls: A Pilot Study

Vascular factors in the genesis of dementia and the optimization of patient management

Postoperative cognitive change after cardiac surgery predicts long‐term cognitive outcome

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