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Cognitive dysfunctions in intensive cardiac care unit.
Manish Bathla1, K Krishna Murthy, Shalu Chandna
1Assistant Professor, Department of Psychiatry, M. M. Medical College, Mullana (Ambala), Haryana, India.
Indian Journal of Psychiatry
|September 15, 2010
Summary
Patients in intensive cardiac care units (ICCU) experience significant cognitive impairments, including issues with orientation, attention, and concentration. These deficits, measured by the Standardized Mini Mental State Examination and Brief Cognitive Rating Scale, indicate a global cognitive decline.
Area of Science:
- Cardiology
- Neuroscience
- Psychology
Background:
- Cognitive impairment is an emerging complication of heart failure.
- The intensive cardiac care unit (ICCU) environment may exacerbate cognitive symptoms.
Purpose of the Study:
- To assess cognitive dysfunction in heart disease patients admitted to the ICCU.
- To compare cognitive function between ICCU patients and those in general medical wards.
Main Methods:
- Study included 30 heart disease patients in ICCU and a comparison group in general medical wards.
- Cognitive function was evaluated using the Standardized Mini Mental State Examination (SMMSE) and Brief Cognitive Rating Scale (BCRS).
- Statistical analysis employed Student's t-test and Chi-Square test.
Main Results:
- Cognitive deficits were observed in orientation, attention, and constructional abilities (SMMSE).
- Concentration impairment was noted using the BCRS.
- Overall cognitive dysfunction was statistically significant across both SMMSE and BCRS total scores.
Conclusions:
- ICCU patients with heart disease exhibit cognitive dysfunctions in multiple domains.
- These deficits, including orientation, attention, constructional ability, and concentration, suggest a global cognitive deficit.
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