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Related Concept Videos

Cardiac Catheterization III: Left Heart Catheterization01:24

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Left heart catheterization is an invasive diagnostic procedure used to evaluate the function and structure of the left side of the heart. It is generally performed to diagnose and treat cardiovascular conditions such as valve abnormalities, coronary artery disease, and congenital heart defects.Diagnostic and therapeutic purposesLeft heart catheterization serves various diagnostic and therapeutic purposes, including:Assessing coronary artery bypass grafts.Evaluating coronary artery disease in...
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Cardiac Catheterization II: Right Heart Catheterization01:21

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Right Heart Catheterization: An OverviewRight heart catheterization is an invasive diagnostic procedure that measures right-sided cardiac and pulmonary artery pressures, calculates cardiac output, and identifies intracardiac shunts. It provides detailed hemodynamic data essential for diagnosing and managing various cardiovascular conditions, such as pulmonary hypertension.Access SitesCommon access sites for right heart catheterization include the internal jugular vein in the neck region, the...
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Social psychologists have documented that feeling good about ourselves and maintaining positive self-esteem is a powerful motivator of human behavior (Tavris & Aronson, 2008). In the United States, members of the predominant culture typically think very highly of themselves and view themselves as good people who are above average on many desirable traits (Ehrlinger, Gilovich, & Ross, 2005). Often, our behavior, attitudes, and beliefs are affected when we experience a threat to our...
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Anatomy of the Heart01:27

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The human heart is made up of three layers of tissue that are surrounded by the pericardium, a membrane that protects and confines the heart. The outermost layer, closest to the pericardium, is the epicardium. The pericardial cavity separates the pericardium from the epicardium. Beneath the epicardium is the myocardium, the middle layer, and the endocardium, the innermost layer. There are four chambers of the heart: the right atrium, the right ventricle, the left atrium, and the left ventricle.
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Cardiac Catheterization I: Pre-Procedure Overview01:28

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Cardiac catheterization is an invasive diagnostic technique used to identify and evaluate structural and functional diseases of the heart and major blood vessels. This technique diagnoses congenital heart disease, coronary artery disease, valvular heart disease, and coronary spasms and assesses ventricular function. It helps guide treatment decisions, including the need for revascularization procedures like percutaneous coronary intervention (PCI) or coronary artery bypass grafting (CABG) and...
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Language serves as a bridge between ideas and communication, influencing how individuals perceive and interact with the world. Psychologists have long debated whether language shapes thought or vice versa. This discussion gained grip with Edward Sapir and Benjamin Lee Whorf in the 1940s, who proposed that language determines thought, a concept known as linguistic determinism. They suggested that the vocabulary and structure of a language influence how its speakers think and perceive reality.
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Reduction in Left Ventricular Wall Stress and Improvement in Function in Failing Hearts using Algisyl-LVR
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Cognitive Function Before and After Left Heart Catheterization.

David A Scott1,2, Lisbeth Evered1,2, Paul Maruff3

  • 1Centre for Anaesthesia and Cognitive Function, Department of Anaesthesia and Acute Pain Medicine, St Vincent's Hospital, Melbourne, Australia.

Journal of the American Heart Association
|March 12, 2018
PubMed
Summary
This summary is machine-generated.

Mild cognitive impairment affects over half of older adults before left heart catheterization (LHC). Cognitive decline occurs in 8-13% of patients within 3 months post-LHC, highlighting procedural risks.

Keywords:
catheterizationcognitioncognitive impairmentcoronary angiographyleft heart catheterization

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Area of Science:

  • Cardiology
  • Neurology
  • Geriatrics

Background:

  • Hospital procedures are linked to cognitive changes in elderly patients.
  • Left heart catheterization (LHC) is a common procedure in older adults.
  • Understanding cognitive impact is crucial for patient care.

Purpose of the Study:

  • To determine the prevalence of mild cognitive impairment (MCI) before LHC.
  • To assess the incidence of cognitive decline up to 3 months after LHC.

Main Methods:

  • Prospective, observational study of 437 elderly patients undergoing elective LHC.
  • Cognitive function assessed using written and computerized tests pre-procedure and at 3 months post-procedure.
  • Control group used for Reliable Change Index calculation.

Main Results:

  • Prevalence of MCI was 51.7% before LHC.
  • Cognitive decline incidence: 10.0% at 24 hours, 7.5% at 7 days (computerized tests).
  • At 3 months, cognitive decline incidence: 13.1% (written tests) and 8.5% (computerized tests).

Conclusions:

  • Over half of patients >60 years undergoing LHC have MCI.
  • LHC is associated with cognitive decline in 8-13% of individuals at 3 months.
  • Subtle cognitive changes before and after LHC are common and clinically significant.