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Open Heart Surgery: The Psychiatric Point of View

  • P. Tienari
  • J. Outakoski
  • A. Juolasmaa
  • R. Hirvenoja

Abstract

Cardiac surgery, especially open-heart surgery, is followed by psychiatric complications more often than the other major operations. According to the different reports, the incidence of delirium varies, ranging from about 20% to 40% (Lipowski 1980a). The other psychiatric syndromes reported to follow cardiac surgery are hallucinosis, the paranoid-hallucinatory syndrome and the mixed affective syndrome, with varying combinations and degrees of depression, elation, anxiety and apathy. Apart from the clinical description and classification of the disturbances, there are also classifications based on a factor-analytic examination of symptoms. Quinlan (1974) found two factors which he called “disorientation” and “dysphoria”. Freyhan (1971) observed three factors, which he termed the “delirious syndrome”, the “paranoid-hallucinatory syndrome” and the “mood disorder syndrome”. Gotze and Dahme (1980), using the cluster analytical approach, were able to find five groups: “unremarkable”, a “slight psycho-organic syndrome with affective and psychomotor disturbances”, a “severe psycho-organic syndrome with disturbances of perception psychomotility”, a “paranoid-hallucinatory syndrome with affective emotional and psychomotor disturbances” and a “delirious syndrome”. Among the preoperative somatic conditions related to the postoperative psychopathological phenomena, the nature of the heart disease is often cited, as are also the severity of the heart disease rated according to the N.Y.H.A. and the correlation with the duration of the illness (Speidel et al 1980).

Keywords

Intermediate Period Psychiatric Complication Preoperative Interview Emotional Withdrawal Cluster Analytical Approach 
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.

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References

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Copyright information

© Plenum Press, New York 1983

Authors and Affiliations

  • P. Tienari
    • 1
  • J. Outakoski
    • 1
  • A. Juolasmaa
    • 1
  • R. Hirvenoja
    • 1
  1. 1.Department of PsychiatryOulu UniversityOulu 21Finland

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