Psychologic Sequelae of Cardiac Valve Implantation

  • James G. PedenJr.


Since the advent of cardiac surgery, there has been an increasing amount of research concerned with the psychological after-effects of these procedures. Numerous studies have examined the clinical features of post-cardiotomy delirium, which occurs in up to one-third of cases, as well as the factors which seem to predispose patients to this complication [1]. Other studies have investigated the adjustment of patients to artificial pacemaker implantation (both transthoracic and trans-venous), which typically results in few long-term psychiatric symptoms [2]. More recent papers have dealt with the psychological aspects of coronary artery bypass grafting, such as the persistent anxiety and depression seen in up to one-third of all patients [3, 4].


Suicidal Ideation Coronary Artery Bypass Mechanical Valve Coronary Artery Surgery Tissue Valve 
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  1. 1.
    E. Vasquez, W. R. Chitwood, Postcardiotomy delirium: An overview. Int J. Psychiat in Med. 6:373–383 (1975).CrossRefGoogle Scholar
  2. W. A. Greene, A. J. Moss, Psychosocial factors in the adjustment of patients with permanently implanted cardiac pacemakers, Ann Intern Med. 70: 897 – 902 (1969).Google Scholar
  3. S. S. Heller, K. A. Frank, D. S. Kornfeld, J. R. Malm, F. O. Bowman, Psychological outcome following open heart surgery. Arch Intern Med. 135: 908 – 914 (1974).CrossRefGoogle Scholar
  4. 4.
    D. Hogan, B. Davies, D. Hunt, G. W. Westlake, and M. Mullerworth, Psychiatric aspects of coronary artery surgery, Med J. Aust. 141:587–590 (1984). Google Scholar

Copyright information

© Plenum Press, New York 1990

Authors and Affiliations

  • James G. PedenJr.
    • 1
  1. 1.Departments of Medicine and PsychiatryEast Carolina University School of MedicineGreenvilleUSA

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