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Neuropsychological outcomes after coronary artery bypass grafting

Published online by Cambridge University Press:  11 December 2009

OLA A. SELNES  and
REBECCA F. GOTTESMAN
OLA A. SELNES*
Affiliation:
Cognitive Neuroscience Division, Department of Neurology, Johns Hopkins University School of Medicine, Baltimore, Maryland
REBECCA F. GOTTESMAN
Affiliation:
Cerebrovascular Division, Department of Neurology, Johns Hopkins University School of Medicine, Baltimore, Maryland
*
*Correspondence and reprint requests to: Ola A. Selnes, Division of Cognitive Neuroscience, Johns Hopkins University School of Medicine, 1620 McElderry Street, Reed Hall East – 2, Baltimore, MD 21205-2189. E-mail: [email protected]
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Abstract

Short- and long-term cognitive declines after cardiac surgery with cardiopulmonary bypass have been reported, but the frequency, severity, nature, and etiology of postoperative cognitive changes have been difficult to quantify. Current studies have corrected the principal methodological shortcoming of earlier studies by including control groups, and have shown that while early postoperative cognitive decline does occur in some patients, it is generally mild and reversible by 3 months after surgery. Late cognitive changes do occur, but comparison with patients undergoing off-pump surgery or those being treated medically suggests that these changes are not specific to CABG or more specifically to the use of cardiopulmonary bypass. (JINS, 2010, 16, 221–226.)

Keywords

Coronary artery diseaseOutcome assessmentPostoperative complicationsCognition disordersProspective studies
Type
Short Review
Information
Journal of the International Neuropsychological Society , Volume 16 , Issue 2 , March 2010 , pp. 221 - 226
Copyright
Copyright © The International Neuropsychological Society 2009

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