Neurocognitive and Psychiatric Issues Post Cardiac Surgery

Indja, Ben; Seco, Michael; Seamark, Richard W.; Kaplan, Jason; Bannon, Paul G.; Grieve, Stuart M.; Vallely, Michael P.

doi:10.1016/j.hlc.2016.12.010

Cited by 56 publications

(41 citation statements)

References 73 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…52 Cognitive outcomes are particularly important in this group because neurocognitive and psychiatric complications are common after cardiac interventions, including coronary artery bypass graft and aortic valve replacement, and affect the individual's recovery, quality of life, and long-term mortality. 9,53 Individuals with severe aortic stenosis have a high comorbidity burden, including a high prevalence of coronary artery disease and multiple vascular risk factors ( Supplementary Table S2), both of which have been associated with greater risk of postoperative cognitive deficits and vascular cognitive impairment involving deficits in executive function and processing speed. 51,54,55 The effect of cerebral embolization on cognitive outcomes after cardiac surgery is unclear.…”

Section: Discussion and Limitationsmentioning

confidence: 99%

Cognitive Outcomes After Transcatheter Aortic Valve Implantation: A Metaanalysis

Khan

Herrmann

Gallagher

et al. 2017

J American Geriatrics Society

View full text Add to dashboard Cite

show abstract

Section: Discussion and Limitationsmentioning

confidence: 99%

Cognitive Outcomes After Transcatheter Aortic Valve Implantation: A Metaanalysis

Khan

Herrmann

Gallagher

et al. 2017

J American Geriatrics Society

View full text Add to dashboard Cite

show abstract

“…Postoperative cognitive decline, depressive disorders, post-traumatic stress disorder and neurocognitive impairment related to silent brain infarcts have all been linked to the perioperative period of cardiac surgery, and can have potentially serious consequences. The accurate assessment of these conditions, particularly in determining the etiology, and impact on patients is difficult due to the poorly recognised nature of these complications as well as similarities in presentation to postoperative delirium [109].…”

Section: Cardiac Surgerymentioning

confidence: 99%

Best practice in psychological activities in cardiovascular prevention and rehabilitation: Position Paper

Angelino

Porta

Abatello

et al. 2018

Monaldi Arch Chest Dis

View full text Add to dashboard Cite

Recent guidelines on cardiovascular disease prevention suggest multimodal behavioral interventions for psychosocial risk factors and referral for psychotherapy in the case of clinically significant symptoms of depression and anxiety overall. Accordingly, psychologists of the Italian Association for Cardiovascular Prevention, Rehabilitation and Epidemiology (GICR-IACPR) have reviewed the key components of psychological activities in cardiovascular prevention and rehabilitation (CPR). The aim of this study was to elaborate a position paper on the best practice in routine psychological activities in CPR based on efficacy, effectiveness and sustainability. The steps followed were: i) a review of the latest international guidelines and position papers; ii) analysis of the evidence-based literature; iii) a qualitative analysis of the psychological services operating in some reference Italian cardiac rehabilitation facilities; iv) classification of the psychological activities in CPR as low or high intensity based on the NICE Guidelines on psychological interventions on anxiety and depression. We confirm the existence of an association between depression, anxiety, social factors, stress, personality and illness onset/outcome and coronary heart disease. Evidence for an association between depression, social factors and disease outcome emerges particularly for chronic heart failure. Some positive psychological variables (e.g., optimism) are associated to illness outcome. Evidence is reported on the impact of psychological activities on 'new' conditions which are now indicated for cardiac rehabilitation: pulmonary hypertension, grown-up congenital heart, end-stage heart failure, implantable cardioverter-defribrillator and mechanical ventricular assist devices, frail and oldest-old patients, and end-of-life care. We also report evidence related to caregivers. The Panel divided evidence-based psychological interventions into: i) low intensity (counseling, psycho-education, self-care, self-management, telemedicine, self-help); or ii) high intensity (individual, couples and/or family and group psychotherapy, such as stress management). The results show that psychotherapy is mainly consisting of cognitive-behavior therapy, interpersonal therapy, and short-term psycho-dynamic therapy. The current data further refine the working tools available for psychological activities in CPR, giving clear directions about the choice of interventions, which should be evidence-based and have at least a minimum standard. This document provides a comprehensive update on new knowledge and new paths for psychologists working in the CPR settings.

show abstract

“…Существует вероятность того, что эти пациенты могут являться группой повышенного риска прогрессирования когнитивных расстройств в результате усугубления ишемических изменений в головном мозге под действием комплекса факторов, связанных с прямой реваскуляризацией миокарда. При этом когнитивные расстройства могут возникнуть не только в ближайшем, но и в отдаленном периоде после кардиохирургического вмешательства, затрудняя послеоперационное восстановление пациентов, способствуя снижению эффективности операции и инвалидизации пациентов [3,4]. В связи с этим особое значение имеет поиск чувствительных и информативных критериев для ранней диагностики измененного когнитивного статуса у этой категории больных.…”

unclassified

“…Известно, что когнитивные нарушения у кардиохирургических пациентов чаще всего являются транзиторными, и когнитивные способности пациентов возвращаются к исходному уровню через 1-3 мес. после проведения операции [3,4,38]. Однако у определенных категорий пациентов, таких как пожилые лица в возрасте старше 65 лет с наличием когнитивных нарушений до проведения оперативного вмешательства, когнитивное снижение может сохраняться и в отдаленном послеоперационном периоде [39][40][41].…”

unclassified

Significance of Resting State Electroencephalogram for Diagnosis of Cognitive Disorders in Cardiac Surgery Patients

Тарасова

2019

SMJ

View full text Add to dashboard Cite

This article reviews the issues of cognitive disorders common in cardiac surgery patients as they contribute to the structure of postoperative complications and the long-term prognosis of cardiovascular diseases. Attention is drawn to the fact that the diagnostic capabilities to assess the changes in cognitive status of cardiac surgery patients are limited; and the authors emphasize the need to search for objective and sensitive criteria for diagnosis of cognitive disorders in patients, candidates to direct myocardial revascularization. Relevance of the modern methods for brain electrical activity mapping to study neurophysiological status of patients with coronary artery disease undergoing cardiac surgery interventions is evaluated.

show abstract

Neurocognitive and Psychiatric Issues Post Cardiac Surgery

Cited by 56 publications

References 73 publications

Cognitive Outcomes After Transcatheter Aortic Valve Implantation: A Metaanalysis

Cognitive Outcomes After Transcatheter Aortic Valve Implantation: A Metaanalysis

Best practice in psychological activities in cardiovascular prevention and rehabilitation: Position Paper

Significance of Resting State Electroencephalogram for Diagnosis of Cognitive Disorders in Cardiac Surgery Patients

Contact Info

Product

Resources

About