Advertisement

Reports of Cognitive Change, Mood State and Assessed Cognition Following Coronary Artery Bypass Surgery

  • Stanton Newman
  • Louise Klinger
  • Graham Venn
  • Peter Smith
  • Michael Harrison
  • Tom Treasure

Abstract

The impact of coronary artery bypass surgery (CABS) on the amelioration of angina and breathlessness has been dramatic with approximately 90% of patients reporting symptomatic improvement. In recent years this success has been clouded by studies which have indicated a deterioration in cognitive performance with formal neuropsychological testing performed preoperatively and postoperatively [1, 2]. Studies investigating neuropsychological changes have confirmed that approximately 35% of patients show deficits 8 weeks post surgery [31], still detectable in 33% at one year [4].

Keywords

Beck Depression Inventory Mood State Cognitive Change Coronary Artery Bypass Surgery Choice Reaction Time 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. 1.
    P. Smith, T. Treasure, S. P. Newman, P. Joseph, P. Ell, and M. Harrison, Cerebral consequences of cardiopulmonary bypass. Lancet1: 823 – 825 (1986).Google Scholar
  2. 2.
    P. Shaw, D. Bates, N. Cartlidge, D. Heaviside, D. Julian, and D. Shaw, Early neurological complications of coronary artery bypass surgery, Br. Med J, 291:1384–1387 (1985).CrossRefGoogle Scholar
  3. 3.
    S. P. Newman, P. Smith, T. Treasure, P. Joseph. P. Ell, and M. Harrison, Acute neuropsychological consequences of coronary artery bypass surgery, Curr Psychol Res Rev., 6: 115 – 124 (1987).CrossRefGoogle Scholar
  4. 4.
    G. Venn, L. Klinger, T. Treasure, S. P. Newman, M. Harrison, and P. Ell, Neuropsychological sequelae of bypass twelve months after coronary artery surgery, Br. Heart J., 57:565 (1987).Google Scholar
  5. 5.
    C. Bass, Psychosocial outcome after coronary artery bypass surgery, Br J Psychiat. 145: 526 – 532 (1984).Google Scholar
  6. 6.
    R. S. Blacher, and R. J. Cleveland, Paradoxical depression after heart surgery, in: “Psychic and Neurological Dysfunctions after Open Heart Surgery,” H. Speidel and G. Rodewald., eds., Thieme Stratton, New York (1980).Google Scholar
  7. S. P. Newman, P. Joseph. P. Smith, L. Klinger, G. Venn, M. Harrison, and T. Treasure, Psychiatric and self rated mood state changes after coronary artery bypass surgery, in preparation.Google Scholar
  8. 8.
    B. A. Marcopoulos, Self-reported memory, health and cognitive test performance in depressed and nondepressed elderly, J Clin Exp Neuropsychol. 9: 260 (1987).Google Scholar
  9. 9.
    A. M. Isen, Toward understanding the role of affect in cognition, in: “Handbook of Social Cognition, (Vol. 3),” R. Wyer and T. Scrull, eds., Lawrence Erlbaum, New Jersey (1984).Google Scholar
  10. 10.
    A. M. Isen, T. E. Shalker, M. S. Clark and L. Karp, Affect, accessibility of material in memory, and behaviour: A cognitive loop? J Pers Soc Psychol. 36: 1 – 12 (1978).Google Scholar
  11. 11.
    R. T. Croyle and M. B. Uretsky, Effects of mood on self-appraisal of health status. Health Psychol., 6: 239 – 253 (1987).Google Scholar
  12. 12.
    A. T. Beck, “Depression: Clinical, Experimental and Theoretical Aspects,” Harper, New York (1967).Google Scholar
  13. 13.
    R. E. Ingram, and S. D. Hollon, Cognitive therapy of depression from an information processing perspective, in: “Information Processing Approaches to Clinical Psychology,” R. E. Ingram, ed., Academic Press, New York (1986).Google Scholar

Copyright information

© Plenum Press, New York 1990

Authors and Affiliations

  • Stanton Newman
    • 1
  • Louise Klinger
    • 1
  • Graham Venn
    • 1
  • Peter Smith
    • 1
  • Michael Harrison
    • 1
  • Tom Treasure
    • 1
  1. 1.University College & Middlesex School of Medicine(University of London) & Middlesex HospitalUK

Personalised recommendations