[Neuropathological effects of surgical treatment of coronary heart disease].
Recent improvement in surgical and anaesthetic techniques has significantly reduced the number of post-operative complications, including those from the CNS. Nevertheless the risk of cerebral complications after cardiac revascularization by means of coronary artery bypass grafting (CABG) still exists and is considered an important risk factor in cardiac surgery. Organic cerebral complications may manifest themselves in the form of relatively overt neurological symptoms, such as stroke (1-3%), dysfunction of peripheral nervous system (5-10%) or slight, more difficult to diagnose cognitive deficits (33 to 83%). Acute qualitative dysfunction of awareness develops in about 7-12% of patients shortly after surgery. Depression or anxiety syndromes are observed in about 25% of patients. Presented results inevitably suggest a necessity for programmed psychological assistance and counselling in this category of patients.
Rymaszewska
Joanna
J
Katedra i Klinika Psychiatrii AM we Wrocławiu. ankarym@psych.am.wroc.pl
Kiejna
Andrzej
A
Górna
Renata
R
Kustrzycki
Wojciech
W
D001026:Coronary Artery Bypass / Q000295:instrumentation*; D003327:Coronary Disease / Q000601:surgery*; D006801:Humans; D011183:Postoperative Complications; D020521:Stroke / Q000209:etiology*