Neuropsychological Status of Patients With Stable Coronary Artery Disease and Factors Affecting It

Трубникова, О. А.; Kagan, Elena; Куприянова, Т. В.; Малева, О. В.; Аргунова, Ю. А.; Кухарева, И. Н.

doi:10.17802/2306-1278-2017-1-112-121

Cited by 15 publications

(4 citation statements)

References 7 publications

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“…Such behavior is due to impairment of cognitive functions, particularly a negative change in the attentional process (Selnes, 2008;Trubnikova et al, 2017). Insufficient cerebral circulation leads to a decrease in the degree, stability, and distribution of attention.…”

Section: Resultsmentioning

confidence: 99%

“…To evaluate the level of cognitive restoration, both Russian and foreign researchers use a complex of neuropsychological diagnostic techniques: the Mini-Mental State Examination, the Frontal Assessment Battery (FAB), the Montreal Cognitive Assessment (МоСА), the clock-drawing test, the Schulte Table, association tests (semantic speech activity), The Mattis Dementia Rating Scale, the "10 Words Memorization" test, the Randt Memory Test, the Wechsler Memory Scale, the Digit Symbol Substitution Test (DSST, WAIS-III), the Trail Making Test, Andre Rey's Test, the Wisconsin Card Sorting Test (WCST), and the Stroop Color and Word Test (SCWT). These techniques make it possible to evaluate the main cognitive parameters in patients with CHD and other somatic diseases (Blossom et al, 2017;Cassilhas, Lee, & Fernandes, 2012;Chervinskaya & Shchelkova, 2005;Cyarto et al, 2016;Jelcic et al, 2012;Liu-Ambrose, 2010;Nagamatsu et al, 2013;Solodukhin et al, 2016;Tarasova, Trubnikova, Kukhareva, & Barbarash, 2015;Tchakoute, 2017;Trubnikova et al, 2017;Williams, 2013).…”

Section: Methodsmentioning

confidence: 99%

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Psychological Rehabilitation of Patients with Cardiovascular Diseases by Correction of Cognitive Impairment

Yanitskiy¹,

Seryy²,

Vasyagina³

et al. 2020

Psych. Rus.

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Background. This survey article reviews research and academic writings analyzing cognitive features of patients with cardiovascular diseases.Objective. To review the academic literature on the feasibility of psychological rehabilitation of cardiovascular patients by correcting cognitive impairment.Method. Analysis and compilation of academic writings by Russian and foreign researchers.Results. The cognitive dimension of coronary heart disease (CHD) patients has a number of features linked to the effect of their disease, and to their cognitive and psychological status. The article presents diagnostic techniques used to assess the patient's cognitive state. The experimental data demonstrates the effectiveness of cognitive training with cardiovascular patients. The article also describes recommendations for cognitive rehabilitation of coronary heart disease patients, for choosing the right "target" of remedial psychological intervention, and for assessment of the recovery process.Conclusion. Rehabilitation programs are promising for patients with coronary heart disease and other somatic diseases.

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Section: Resultsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Psychological Rehabilitation of Patients with Cardiovascular Diseases by Correction of Cognitive Impairment

Yanitskiy¹,

Seryy²,

Vasyagina³

et al. 2020

Psych. Rus.

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“…Убедительно доказано, что КС значимо влияет на продолжительность и стоимость лечения, приверженность пациента к терапии, снижает социальное взаимодействие и качество жизни [21,22]. Проведение операции КШ ставит задачей не только продление жизни, но и улучшение ее качества и поддержание социально-экономической независимости пациентов.…”

Section: Discussionunclassified

Impact of preoperative mild cognitive impairment on cerebrovascular events and cognitive status in patients undergoing coronary artery bypass grafting: data from 5-year follow-up

et al. 2021

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Aim. To assess the incidence of cerebrovascular events and cognitive status in the long-term period after coronary artery bypass grafting (CABG) in patients with and without preoperative mild cognitive impairment (MCI).Material and methods. This prospective study involved 115 patients aged 45 to 69 years, who were admitted to the hospital for elective on-pump CABG. All patients underwent clinical, laboratory, ultrasound, neuroimaging and neuropsychological examination 3-5 days before and 5-7 years after CABG. Cognitive functioning was assessed using screening neuropsychological scales and neuropsychological testing with an assessment of neurodynamics, attention and short-term memory. Pre-CABG MCI was diagnosed based on the criteria by R. Petersen et al. Therefore, the patients were divided into two groups: with (n=51) and without MCI (n=64).Results. It was found that strokes and dementia during the long-term postoperative period of CABG were observed only in the group of patients with preoperative MCI (7,84%). Five-seven years after CABG, a decrease in cognitive status according to neuropsychological scales was found in all patients (p≤0,05). A decrease in neurodynamics, attention and short-term memory compared to the preoperative level was found in 47,92% of patients with preoperative MCI, without MCI — in 40,63%. Neurodynamic disorders occurred equally frequently in both groups (63,8% and 57,8% of patients, respectively). Memory impairments were more often observed in patients with MCI (55,3%) compared to those without MCI (34,4%) (OR=2,36, 95% CI, 1,09-5,12, p=0,03). According to brain multislice computed tomography in the group with preoperative MCI, the number of patients with cysts and leukoaraiosis 5-7 years after CABG was higher than in those without MCI (p≤0,05).Conclusion. In the long-term (5-7 years) postoperative period of CABG, more than 40% of patients demonstrate a decrease in cognitive status, regardless of preoperative data. At the same time, preoperative MCI is associated with adverse cerebrovascular events and dementia, accompanied by morphological brain abnormalities. Due to the revealed facts, it is necessary to optimize approaches to drug treatment and secondary prevention of cognitive decline after cardiac surgery.

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“…С помощью корректурной пробы Бурдона изучена функция направленного и распределенного внимания (количество обработанных знаков на 1-й и 4-й минутах теста), кратковременная память оценена при запоминании предъявляемых визуально 10 слов, 10 чисел и 10 бессмысленных слогов (их количество) [18]. Далее получен комплексный показатель когнитивного статуса (ККС) по авторизованной методике [19]: для выбранных когнитивных показателей произведен расчет среднеквадратичного расстояния до условных норм и сформирован интегральный показатель, отражающий сумму пяти параметров: средних значений времени реакции (Y1), количества ошибок (Y2) и пропущенных сигналов (Y3) в нейродинамических тестах, памяти (Y4) и внимания (Y5). Расчет выполнен по формуле:…”

Section: расширенное нейропсихологическое тестированиеunclassified

Effects of dual-task rehabilitative training in the early postoperative period after direct myocardial revascularization

Тарасова

Трубникова

Kuhareva

et al. 2021

Kompleks. probl. serdečno-sosud. zabol.

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Aim. To assess the effects of cognitive rehabilitation with dual-task training that involves a cognitive task combined with postural and walking control, as well as electroencephalogram indices in patients in the early postoperative period after direct myocardial revascularization.Methods. The study enrolled 48 patients scheduled for coronary artery bypass graft surgery. Subjects in this prospective, randomized study were randomized using envelopes to a postoperative cognitive training group (n = 23) and non-training group (n = 25). The cognitive training was carried out daily, starting 3-4 days after the procedure and until the discharge order. Dual tasks training (a cognitive task combined with postural and walking control) lasted 15-20 minutes. All patients were submitted to an extended neurophysiological assessment (psychometric tests and electroencephalogram study) and stabilography 3-5 days before and 8-11 days after coronary artery bypass grafting.Results. The patients who underwent cognitive training experienced postoperative cognitive dysfunction (POCD) in 39% cases in the early postoperative period after intervention, while the non-training group - in 64%. The relative risk of developing POCD in the non-training group was 2.77 (95% CI: 0.86-8.91, Z = 1.704, p = 0.08). The patients in cognitive training exhibited better cognitive state compared to the preoperative state (Z = 2.58; p = 0.01) in the absence of statistically significant differences in the non-training group. Moreover, type-1 theta power values increased in the non-training group in comparison to the preoperative values, while the cognitive training group did not have a statistically significant difference in theta power.Conclusion. Positive effects of dual task rehabilitation on the neurophysiological parameters of patients undergoing direct myocardial revascularization were demonstrated. Positive effects include lower frequency of POCD, improved cognitive state and less pronounced cortical dysfunction. The dual task training had proved a suitable training method for this category of patients. Additional studies are required to test the possibility of increasing the duration and intensity of dual task training for stronger recovery effect and improved cognitive and walking performance of patients in the postoperative period after direct myocardial revascularization.

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Neuropsychological Status of Patients With Stable Coronary Artery Disease and Factors Affecting It

Cited by 15 publications

References 7 publications

Psychological Rehabilitation of Patients with Cardiovascular Diseases by Correction of Cognitive Impairment

Psychological Rehabilitation of Patients with Cardiovascular Diseases by Correction of Cognitive Impairment

Impact of preoperative mild cognitive impairment on cerebrovascular events and cognitive status in patients undergoing coronary artery bypass grafting: data from 5-year follow-up

Effects of dual-task rehabilitative training in the early postoperative period after direct myocardial revascularization

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