Neurocognitive and Psychiatric Issues Post Cardiac Surgery

Ben Indja1, Michael Seco2, Richard Seamark3

  • 1Sydney Medical School, The University of Sydney, Sydney, NSW, Australia; The Baird Institute of Applied Heart & Lung Surgical Research, Sydney, NSW, Australia; Sydney Translational Imaging Laboratory, Heart Research Institute, Charles Perkins Centre, University of Sydney, NSW, Australia.

Heart, Lung & Circulation
|February 27, 2017
PubMed

Insights

Cardiac surgery can lead to neurocognitive and psychiatric issues, affecting recovery and long-term health. Early recognition and management of these complications are crucial for improving patient outcomes.

Area of Science:

  • Cardiology
  • Neurology
  • Psychiatry

Background:

  • Neurocognitive and psychiatric complications are frequent after cardiac surgery.
  • These issues significantly impact patient quality of life, surgical recovery, rehabilitation, and survival.
  • Conditions include postoperative cognitive decline, depression, PTSD, and silent brain infarcts.

Purpose of the Study:

  • To review current knowledge on psychiatric disturbances post-cardiac surgery.
  • To highlight the impact on patient quality of life and long-term outcomes.
  • To address challenges in diagnosing these conditions due to their subtle nature and overlap with delirium.

Main Methods:

  • Literature review of studies on neurocognitive and psychiatric complications after cardiac surgery.
  • Analysis of the presentation, etiology, and impact of these conditions.
  • Synthesis of current understanding regarding patient outcomes.

Main Results:

  • Cardiac surgery is associated with a range of neurocognitive and psychiatric issues.
  • Accurate assessment is challenging due to poor recognition and symptom overlap with delirium.
  • These complications have serious consequences for patients' well-being and survival.

Conclusions:

  • Psychiatric disturbances are a significant concern following cardiac surgery.
  • Further research is needed to improve diagnosis and management.
  • Addressing these complications is vital for enhancing patient recovery and long-term prognosis.

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