Cognitive Dysfunction after Cardiac Surgery

被引:7
作者
Mehta, Yatin [1 ]
Singh, Raveen [1 ]
机构
[1] Medanta, Dept Cardiac Anaesthesia, Sector 38, Medanta Inst Crit Care & Anaesthesiol, Gurgaon, India
关键词
Cardiac surgery; cardiopulmonary bypass; neurologic dysfunction; pathophysiology; CORONARY-ARTERY-BYPASS; AMYLOID-BETA-PEPTIDE; CLINICALLY RELEVANT CONCENTRATIONS; CARDIOPULMONARY BYPASS; GRAFT-SURGERY; NEUROCOGNITIVE FUNCTION; NONCARDIAC SURGERY; RANDOMIZED-TRIAL; ALZHEIMERS-DISEASE; ALPHA-STAT;
D O I
10.3233/JAD-2010-100834
中图分类号
Q189 [神经科学];
学科分类号
071006 ;
摘要
Both short and long term cognitive changes occur after cardiac surgery but the pathophysiology of these neurobehavioral changes remain incompletely understood. The cause of cognitive decline is most likely multifactorial and probably represents a complex interaction between cerebral microemboli, global cerebral hypoperfusion, inflammation, and genetic susceptibility. The problem of cognitive decline after cardiac surgery continues to increase as the surgical population becomes older and has more prevalent comorbid diseases. A better understanding of the etiology is essential to finding new preventive strategies as no definitive therapy exists for cognitive dysfunction.
引用
收藏
页码:S115 / S120
页数:6
相关论文
共 58 条
[1]   Apolipoprotein E genotype and cognitive dysfunction after noncardiac surgery [J].
Abildstrom, H ;
Christiansen, M ;
Siersma, VD ;
Rasmussen, LS .
ANESTHESIOLOGY, 2004, 101 (04) :855-861
[2]   Outcomes of cardiac surgery in patients age ≥80 years:: Results from the National Cardiovascular Network [J].
Alexander, KP ;
Anstrom, KJ ;
Muhlbaier, LH ;
Grosswald, RD ;
Smith, PK ;
Jones, RH ;
Peterson, ED .
JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 2000, 35 (03) :731-738
[3]   Therapeutic Hypothermia [J].
Arrica, Mauro ;
Bissonnette, Bruno .
SEMINARS IN CARDIOTHORACIC AND VASCULAR ANESTHESIA, 2007, 11 (01) :6-15
[4]   Neuroprotection of the brain during cardiopulmonary bypass - A randomized trial of remacemide during coronary artery bypass in 171 patients [J].
Arrowsmith, JE ;
Harrison, MJG ;
Newman, SP ;
Stygall, J ;
Timberlake, N ;
Pugsley, WB .
STROKE, 1998, 29 (11) :2357-2362
[5]   Central nervous system complications of cardiac surgery [J].
Arrowsmith, JE ;
Grocott, HP ;
Reves, JG ;
Newman, MF .
BRITISH JOURNAL OF ANAESTHESIA, 2000, 84 (03) :378-393
[6]   Neurologic risk assessment, monitoring and outcome in cardiac surgery [J].
Arrowsmith, JE ;
Grocott, HP ;
Newman, MF .
JOURNAL OF CARDIOTHORACIC AND VASCULAR ANESTHESIA, 1999, 13 (06) :736-743
[7]   Brain and behavior changes in 12-month-old Tg2576 and nontransgenic mice exposed to anesthetics [J].
Bianchi, Shannon L. ;
Tran, Thuy ;
Liu, ChuiLiang ;
Lin, Susan ;
Li, Yujuan ;
Keller, Jason M. ;
Eckenhoff, Roderic G. ;
Eckenhoff, Maryellen F. .
NEUROBIOLOGY OF AGING, 2008, 29 (07) :1002-1010
[8]   Decreased cerebral emboli during distal aortic arch cannulation: A randomized clinical trial [J].
Borger, MA ;
Taylor, RL ;
Weisel, RD ;
Kulkarni, G ;
Benaroia, M ;
Rao, V ;
Cohen, G ;
Fedorko, L ;
Feindel, CM .
JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY, 1999, 118 (04) :740-745
[9]   Profound reduction in brain embolization using an endoaortic baffle during bypass in swine [J].
Cook, DJ ;
Zehr, KJ ;
Orszulak, TA ;
Slater, JM .
ANNALS OF THORACIC SURGERY, 2002, 73 (01) :198-202
[10]   Clinically relevant cognitive impairment after cardiac surgery: a 6-month follow-up study [J].
Di Carlo, A ;
Perna, AM ;
Pantoni, L ;
Basile, AM ;
Bonacchi, M ;
Pracucci, G ;
Trefoloni, G ;
Bracco, L ;
Sangiovanni, V ;
Piccini, C ;
Palmarini, MF ;
Carbonetto, F ;
Biondi, E ;
Sani, G ;
Inzitari, D .
JOURNAL OF THE NEUROLOGICAL SCIENCES, 2001, 188 (1-2) :85-93