Blumenthal J A, Madden D J, Burker E J, Croughwell N, Schniebolk S, Smith R, White W D, Hlatky M, Reves J G
Department of Psychiatry, Duke University Medical Center.
Int J Psychosom. 1991;38(1-4):13-6.
The effects of three commonly performed cardiac procedures on cognitive performance were evaluated in patients undergoing coronary artery bypass graft (CABG) surgery (N = 20), percutaneous transluminal coronary angioplasty (PTCA) procedure (N = 8), or cardiac valve repair (N = 11). Patients completed a neuropsychological test battery on the day prior to their surgery and at discharge. Results showed that valve and CABG patients exhibited declines in performance on the Digit Symbol subtest, while PTCA patients did not change. Reaction time performance improved for the PTCA patients but declined significantly for valve patients. These results suggest that common cardiac procedures may have measurable effects on cognitive performance, as assessed by a relatively brief test battery.
对接受冠状动脉旁路移植术(CABG,n = 20)、经皮腔内冠状动脉成形术(PTCA,n = 8)或心脏瓣膜修复术(n = 11)的患者,评估了三种常见心脏手术对认知能力的影响。患者在手术前一天和出院时完成了一组神经心理学测试。结果显示,瓣膜修复术患者和冠状动脉旁路移植术患者在数字符号子测试中的表现有所下降,而经皮腔内冠状动脉成形术患者则无变化。经皮腔内冠状动脉成形术患者的反应时间有所改善,但瓣膜修复术患者的反应时间则显著下降。这些结果表明,通过一组相对简短的测试评估发现,常见的心脏手术可能对认知能力有可测量的影响。