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Published on: March 27, 2018
[The cognitive functioning of patients with heart disease treated cardiosurgically--assessment before and after
Janusz Stazka1, Ewa Małgorzata Szepietowska, Ewelina Barańska
1Klinika Kardiochirurgii UM w Lublinie.
Insights
Cognitive functioning, including abstract thinking and verbal fluency, improved after coronary artery bypass graft (CABG) surgery. These findings suggest CABG positively impacts cognitive processes in cardiac patients.
Area of Science:
- Cardiology
- Neuroscience
- Psychology
Context:
- Coronary artery bypass graft (CABG) surgery aims to improve heart blood supply.
- Post-CABG patients may face cognitive function decline due to surgical factors.
- Previous research indicates generalized cognitive deterioration after CABG.
Purpose:
- Assess cognitive processes (visual recognition, abstract thinking, verbal fluency) and memory self-opinion in cardiac surgery patients.
- Identify clinical and individual variables influencing pre- and post-surgical cognitive function.
Summary:
- Cognitive assessments were conducted before and after CABG surgery on 18 patients (ages 55-81).
- Tests included visual memory, verbal fluency (animals, supermarket), abstract thinking (Similarities), and memory self-efficacy questionnaire.
- Patients showed improved performance in most cognitive tasks post-surgery, particularly in verbal fluency and abstract thinking.
Impact:
- Cognitive function in CABG patients improved days after surgery compared to pre-operative levels.
- Enhanced abstract thinking and verbal fluency were observed post-intervention.
- Clinical and individual factors were found to modulate patient outcomes to varying degrees.
Background:
The coronary artery bypass graft surgery (CABG) serves the improvement of blood supply of the heart muscle. Better blood supply augurs the improvement of cognitive functioning in surgically operated persons. The patients who have undergone these kind of operations, in fact are endangered with unfavourable working factors, connected with different techniques of intervention. Many studies have suggested the generalised and unspecific deterioration of cognitive functioning after CABG.
Aim:
The aim of our research was the assessment of the cognitive processes (the recognition of visual items, thinking abstract, the verbal fluency) as well as subjective opinion of one's own memory in cardiac surgery patients, and qualification of clinical and individual variables which could influence on pre- and post-surgical cognitive functioning.
Methods:
The group consisted of 18 patients (9 women, 9 men), at the age of 55-81 years. The psychological assessment was executed twice--before and after operation. In the psychological assessment, the following were used: the Benton test of visual memory, verbal fluency (animals, supermarket), subtest similarities (WAIS-PL) as well as the questionnaire of opinion of efficiency own memory Giovagnoli.
Results:
The patients receivedhigher results in the majority of cognitive tasks in the second (postoperative) investigation, in this especially, in estimating the ability ofrecalling the words (verbal fluency--animals; supermarket) as well as abstract thinking (Similarities).
Conclusions:
The cognitive functioning of patients treated with the use CABG improved in several days after the operation in relation to their state before intervention. Higher results were noted in tasks of abstract thinking as well as verbal fluency. The clinical and individual factors modify the patients' results in various degrees.
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