Email this article Dynamics and correlation anxious-depressive, cognitive disorders and quality of life of patients undergoing coronary artery bypass grafting
- Authors: Chugunova Y.V1,2, Chumakova G.A1,3, Demenko T.N1,4
-
Affiliations:
- Altai State Medical University of the Ministry of Health of the Russian Federation
- Altai Regional Cardiological Dispensary
- Scientific Research Institute for Complex Issues of Cardiovascular Diseases
- Regional Clinical Hospital of Emergency
- Issue: Vol 6, No 3 (2015)
- Pages: 15-21
- Section: Articles
- URL: https://journals.rcsi.science/2221-7185/article/view/45115
- DOI: https://doi.org/10.26442/CS45115
- ID: 45115
Cite item
Full Text
Abstract
Neuropsychological complications can appear at patients after coronary artery bypass surgery (CABG) and significantly worsen their quality of life (QoL). The purpose of this research was to study neuropsychological patients’ status before and after CABG and its effect on patients’ QOL. Materials and methods: 90 men were included in this study. Neuropsychological status was evaluated with the use of Zung Self-Rating Depression Scale, Russian version; State-Trait Anxiety Inventory; the Short Form General Health Survey (SF-36); hardware-software complex “Status PF”. Results. There were lower cognitive performances among patients with depression symptoms then among those without those before CABG. 2 weeks after CABG patients with depression symptoms had significantly lower cognitive performances such as mechanical, sense and image memory volume, “finding numerals” test, “induction” and “abstraction” tests, and number of mistakes in complex visual-motor reaction as compared with patients without depression symptoms. Neurodynamics performance was worse in patients with high trait anxiety (HTA) then it was in those with moderate trait anxiety (MTA) before CABG. Also patients with HTA had lower cognitive performances 2 weeks and 6 months after CABG. Patients with depression or HTA had significantly lower QoL levels then patients without depression or MTA before and after surgery. Thus, severe cognitive performances are exposed among patients with depression and high anxiety before and after CABG. Depression and anxiety negatively influence on patients’ QoL before and after surgery.
Full Text
##article.viewOnOriginalSite##About the authors
Yu. V Chugunova
Altai State Medical University of the Ministry of Health of the Russian Federation; Altai Regional Cardiological Dispensary
Email: julia.zykova@hotmail.com
аспирант каф. терапии и общей врачебной практики ГБОУ ВПО АГМУ, врач КГБУЗ АККД 656055, Russian Federation, Barnaul, ul. Malakhova, d. 46
G. A Chumakova
Altai State Medical University of the Ministry of Health of the Russian Federation; Scientific Research Institute for Complex Issues of Cardiovascular Diseases
Email: g.a.chumakova@mail.ru
д-р мед. наук, проф. каф. терапии и общей врачебной практики ГБОУ ВПО АГМУ, вед. науч. сотр. отд. мультифокального атеросклероза ФГБНУ НИИ КПССЗ 650002, Russian Federation, Kemerovo, Sosnovyi b-r, d. 6
T. N Demenko
Altai State Medical University of the Ministry of Health of the Russian Federation; Regional Clinical Hospital of Emergency
Email: tatiana.demenko@yandex.ru
аспирант каф. терапии и общей врачебной практики ГБОУ ВПО АГМУ, врач КГБУЗ ККБ СМП 656038, Russian Federation, Barnaul, Komsomol'skii pr-t, d. 73
References
- Taggart D.P. Contemporary coronary artery bypass grafting. Front Med 2014; 8 (4): 395-8.
- Долженко М.Н. Депрессивные и тревожные расстройства в кардиологии: возможности комбинированной терапии антидепрессантом и антигипоксантом. Междунар. неврол. журн. 2013; 5 (59). http://www.mif-ua.com/archive/article/36762
- Ватутин Н.Т., Калинкина Н.В., Дзюба Е.В. и др. Депрессивные расстройства и сердечно - сосудистые заболевания. Сердце и сосуды. 2012; 2: 117-26.
- Tully P.J, Baker A.B. Depression, anxiety, and cardiac morbidity outcomes after coronary artery bypass surgery: a contemporary and practical review. J Geriatr Cardiol 2012; 9: 197-208.
- Rasmussen L.S. Postoperative cognitive dysfunction: incidence and prevention. Best Pract Res Clin Anaesthesiol 2006; 20: 315-30.
- Stroobant N, Vingerhoets G. Depression, anxiety, and neuropsychological performance in coronary artery bypass graft patients: a follow - up study. Psychosomatics 2008; 49: 326-31.
- Медведева Л.А., Загорулько О.И., Белов Ю.В. и др. Нейрокогнитивное и нейропсихологическое тестирование в кардиохирургии. Хирургия. 2013; 2: 80-90.
- Järvinen O, Hokkanen M, Huhtala H. Quality of life 12 years after on - pump and off - pump coronary artery bypass grafting. Coron Artery Dis 2013; 24 (8): 663-8.
- Hokkanen M, Järvinen O, Huhtala H et al. A 12-year follow - up on the changes in health - related quality of life after coronary artery bypass graft surgery. Eur J Cardiothorac Surg 2014; 45 (2): 329-34.
- Baig K, Harling L, Papanikitas J et al. Does coronary artery bypass grafting improve quality of life in elderly patients? Interact Cardiovasc Thorac Surg 2013; 17: 542-53.
- Wang X.S, Mei Y.Q, Li A.P et al. Depression before and after operation in patients undergoing coronary artery bypass grafting and the effect thereof on quality of life. Zhonghua Yi Xue Za Zhi 2008; 88 (46): 3283-6.
- Rudolph J.L, Schreiber K.A, Culley D.J. Measurement of postoperative cognitive dysfunction after cardiac surgery: a systematic review. Acta Anaesthesiol Scand 2010; 54 (6): 663-77.
- Rothenhäusler H.B, Stepan A, Hetterle R et al. The effects of coronary artery bypass graft surgery on health - related quality of life, cognitive performance, and emotional status outcomes: a prospective 6-month follow - up consultation - liaison psychiatry study. Fortschr Neurol Psychiatr 2010; 78 (6): 343-54.
- Phillips-Bute B, Mathew J.P, Blumenthal J.A et al. Association of neurocognitive function and quality of life 1 year after coronary artery bypass graft (CABG) surgery. Psychosom Med 2006; 68: 369-75.
