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Diario Oficial de la Sociedad Mexicana de Cirugía Cardiaca, A.C., y del Colegio Mexicano de Cirugía Cardiovascular y Torácica, A.C.

2019, Number 2

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Cir Card Mex 2019; 4 (2)

The contribution of neuropsychology in cardiac surgery: Cognitive deficits after heart surgery can be detected only by neuropsychological assessment

Megari K

Language: English
References: 27
Page: 51-53
PDF size: 144.71 Kb.


ABSTRACT

Postoperative cognitive dysfunction involves decline in several cognitive domains after surgery and is particularly common after cardiac surgery. Postoperative cognitive dysfunction refers to impairment in one or more cognitive domains including decrements in attention, orientation, memory and learning following surgery. The severity of postoperative cognitive dysfunction covers a broad range, varying from mild cognitive decline to severe dementia. A comprehensive neuropsychological assessment is necessary in diagnosis for the detection and specification of postoperative cognitive dysfunction in cardiac surgery, as it is typically quite subtle, may elude detection. The important point is that without a complete and thorough neuropsychological assessment cannot be detected easily and definitely cannot picked up from subjective impressions. Neuropsychological assessment of cognitive functions is very important in order to ascertain the true extent of postoperative cognitive dysfunction in cardiac surgery. Given the potential effects of such cognitive dysfunction on quality of life, it is important to investigate it. The time of which neuropsychological assessment should be conducted is a critical issue.


REFERENCES

  1. Lezak MD, Howieson DB, Bigler ED, Tranel D. Neuropsychological assessment.Fifth edition 2012. Oxford University Press.

  2. Casaletto KB, Heaton RK. Neuropsychological assessment: Past and Future.Journal of the International Neuropsychological Society 2017;23:778-90.

  3. Rasmussen LS. Postoperative cognitive dysfunction: Incidence and prevention.Best Pract Res Clin Anaesthesiol 2006;20:315-30.

  4. Selnes OA, Gottesman RF. Neuropsychological outcomes after coronary arterybypass grafting. J Int Neuropsychol Soc 2010;16:221-6.

  5. Megari K. Quality of life in chronic disease patients. Health Psychology Research2013; 1: 141-8.

  6. Evered L, Silbert B, Scott DA. Pre-existing cognitive impairment and post-operativecognitive dysfunction: should we be talking the same language? Int Psychogeriatr2016;28:1053-5.

  7. Pappa M, Theodosiadis N, Tsounis A, Sarafis P. Pathogenesis and treatment ofpost-operative cognitive dysfunction. Electronic Physician 2017; 9: 3768-75.

  8. Rundshagen I. Postoperative cognitive dysfunction. Dtsch Arztebl Int2014;111:119-25.

  9. Davis N, Lee M, Lin AY, et al. Post-operative cognitive function following generalversus regional anesthesia, a systematic review. J Neurosurg Anesthesiol2014;26:369-76.

  10. Mackensen G B, Gelb AW. Postoperative cognitive deficits: more questions thananswers. Eur J Anaesthesiol 2004;21:85-8.

  11. Slater JP, Guarino T, Stack J, et al. Cerebral oxygen desaturation predicts cognitivedecline and longer hospital stay after cardiac surgery. Ann Thorac Surg2009;87:36-45.

  12. Huang C, Mårtensson J, Gögenur I, Asghar MS. Exploring postoperative cognitivedysfunction and delirium in noncardiac surgery using MRI: a systematic review.Neural Plast 2018:1281657. doi: 10.1155/2018/1281657. eCollection 2018.

  13. Symes E, Maruff P, Ajani A, Currie J. Issues associated with the Aust N Z J Psychiatry2000;34:770-84.

  14. Argiriadou H, Megari K, Antonitsis P, Kosmidis MH, Papakonstantinou C, AnastasiadisK. Non-pulsatile circulation with axial-flow left ventricular assist devicepreserves neurocognitive function. Perfusion 2010;25:225-8.

  15. Megari K, Kiosseoglou G, Argiriadou H, Anastasiadis K, Kosmidis ME Postoperativecognitive dysfunction in cardiac surgery employing cardiopulmonarybypass: A comparison of minimal-extracorporeal circulation and conventionalextracorporeal circulation systems over time. In Press.

  16. Needham MJ, Webb CE, Bryden DC. Postoperative cognitive dysfunction and dementia:what we need to know and do. Br J Anaesth 2017;119(suppl_1):i115-i125.

  17. Bruggemans EF. Cognitive dysfunction after cardiac surgery: pathophysiologicalmechanisms and preventive strategies. Neth Heart J 2013; 21: 70-3.

  18. Collie A, Darby DG, Falleti MG, Silbert BS, Maruff P. Determining the extent ofcognitive change after coronary surgery: a review of statistical procedures. AnnThorac Surg 2002;73:2005–11.

  19. Baba T, Maekawa K, Otomo S, Tokunaga Y, Oyoshi T. Postoperative cognitivedysfunction in off-pump versus on-pump coronary artery bypass surgery. Masui

  20. 2014;63:1219-27. [Article in Japanese].20. Knipp SC, Matatko N, Wilhelm H, et al. Cognitive outcomes three years after coronaryartery bypass surgery: relation to diffusion-weighted Magnetic ResonanceImaging. Ann Thorac Surg 2008;85:872-9.

  21. Berger M, Nadler J, Browndyke J, et al. Postoperative cognitive dysfunction:minding the gaps in our knowledge of a common postoperative complication inthe elderly. Anesthesiol Clin 2015;33:517-50.

  22. Tan AMY, Amoako, D. Postoperative cognitive dysfunction after cardiac surgery.Continuing Education in Anaesthesia Critical Care & Pain 2013;13: 218-23.

  23. Patel N, Minhas JS, Chung E. Risk factors associated with cognitive declineafter cardiac surgery: a systematic review. Cardiovasc Psychiatry Neurol2015;2015:370612. doi: 10.1155/2015/370612.

  24. Maekawa K. Postoperative Cognitive dysfunction after Cardiac Surgery and Neuroprotection.In: Uchino H, Ushijima K, Ikeda Y. (eds) Neuroanesthesia and CerebrospinalProtection 2015. Springer, Tokyo.

  25. Cannon JA, McMurray JJV, Quinn TJ. Hearts and minds’: association, causationand implication of cognitive impairment in heart failure. Alzheimers Res Ther2015;7(1):22. doi: 10.1186/s13195-015-0106-5.

  26. Smith PJ, Mathew JP, Blumenthal JA. Neurocognitive changes following coronaryartery bypass grafting. In Neuropsychology of cardiovascular disease 2015.S. R. Waldstein& M. F. Elias (Eds). Psychology Press.

  27. Borowicz J, Goldsborough M, Selnes O, McKhann G. Neuropsychologic changeafter cardiac surgery: a critical review. J Cardiothorac Vasc Anesth 1996;10:105-12.




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