Zur Frage psychischer und neurologischer Störungen bei Herzoperationen

Meyendorf, R

doi:10.1055/s-0028-1097056

Cited by 4 publications

(2 citation statements)

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“…Specific examin ations postoper atively revealed far more than the more serious reactions whic h we had observ ed in the inten sive care unit (17). In themselves, transito ry nystag mu s…”

Section: Psychological Examinalionsmentioning

confidence: 77%

‘Head and Heart’ - Neurological and Psychological Reactions to Open Heart Surgery

Rodewald¹,

Meffert²,

Emskötter³

et al. 1988

Thorac cardiovasc Surg

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Neurological and psychological reactions to open-heart surgery are widely underestimated phenomena and occur in a much higher incidence than one might expect. When analyzed retrospectively, up to 3.8% of patients who underwent cardiac surgery at the Hamburg University Hospital exhibited these reactions, whereas 35%-50% presented with symptoms and signs of perioperative CNS dysfunctions in prospective studies at our department. About the same percentages are detected in prospective studies of the patients' perioperative psychopathology, stating that a great number of cardiac patients exceed the normal range of anxious, tense, and depressive moods in this setting. The consequences of these findings for the patients' quality of life and the impact for the perioperative management of patients undergoing open-heart surgery are discussed. The current prospective studies, preliminary results of which are presented here, are part of an international interdisciplinary study, initiated to bring more light into the complicated relations between ECC-assisted cardiac surgery, anaesthesiology, neurology and psychology.

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“…Specific examin ations postoper atively revealed far more than the more serious reactions whic h we had observ ed in the inten sive care unit (17). In themselves, transito ry nystag mu s…”

Section: Psychological Examinalionsmentioning

confidence: 77%

‘Head and Heart’ - Neurological and Psychological Reactions to Open Heart Surgery

Rodewald¹,

Meffert²,

Emskötter³

et al. 1988

Thorac cardiovasc Surg

View full text Add to dashboard Cite

show abstract

“…Nach Meyendorf [56][57][58][59] gehören neuropsychiatrische Auffälligkeiten in der Folge von chirurgischen Eingriffen am offenen Herzen bereits in den 1970er Jahren zu den am intensivsten beforschten psychischen Störungen nach Operationen überhaupt.…”

Section: Kognitive Leistungsdefizite Und Herzchirurgieunclassified

Biopsychosoziale Auswirkungen herzchirurgischer Eingriffe – eine relevante konsiliarpsychiatrische Herausforderung

Rothenhäusler

2010

psychiatr. psychother.

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Clinical strategies for detecting and treating heart surgery-related mental disorders represents an increasingly important challenge to consultation -liaison (C -L) psychiatry. In this context a variety of short-term, intermediate-term, and long-term studies examining psychiatric and psychosocial outcome of patients of cardiac surgery employing cardiopulmonary bypass (CPB) have to be considered. To sum up, major cardiac surgery with CPB such as coronary artery bypass graft surgery (CABG) is associated with significant improvements in health-related quality of life (HRQOL) relative to the preoperative period. On the other hand, impairments in HRQOL were found in a subgroup of post-CABG patients with evidence of depression, posttraumatic stress syndrome, or cognitive deficits in the short-, intermediate-, and longterm course. We therefore underscore the need for early and comprehensive bio-psycho-social diagnosis and therapy of post-CABG patients. Close collaboration between cardiac surgeons, C -L psychiatrists, medical psychologists, psychotherapists, clinical psychologists, and internists will be necessary.

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Psychopatho-ophthalmology, gnostic disorders, and psychosis in cardiac surgery

Meyendorf¹

1982

Arch Psychiatr Nervenkr

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The visual disturbances of 45 patients following open heart surgery could be divided into disturbances of (1) visual acuity, (2) visual accuracy, and (3) visual reality testing. The non-hallucinatory phenomena consisted mainly of loss of colour vision, metamorphopsias, visual gnostic disorders and cortical blindness. The hallucinatory phenomena could be divided into the delirium type of hallucinations with clouding of consciousness and the spectator type of hallucinations with a clear sensorium. The causes of the visual symptomatology and cardiac psychoses are seen in microembolization and/or ischemic hypoxia. The basal ganglia and the occipital lobe are areas of predilection for embolic and hypoxic changes. Identical psychoses also occur in cerebral malaria and polycythemia vera which show the same embolic and anoxic neuropathological changes of vascular occlusion as do many patients who die following open heart surgery with extracorporal circulation.

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Zur Frage psychischer und neurologischer Störungen bei Herzoperationen

Cited by 4 publications

References 0 publications

‘Head and Heart’ - Neurological and Psychological Reactions to Open Heart Surgery

‘Head and Heart’ - Neurological and Psychological Reactions to Open Heart Surgery

Biopsychosoziale Auswirkungen herzchirurgischer Eingriffe – eine relevante konsiliarpsychiatrische Herausforderung

Psychopatho-ophthalmology, gnostic disorders, and psychosis in cardiac surgery

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