Neurocognitive outcomes after cardiac surgery.

Published

Journal Article (Review)

PURPOSE OF REVIEW: To summarize recent studies of neurocognitive dysfunction after cardiac surgery, as well as to outline efforts and approaches toward advancing the field. RECENT FINDINGS: Observational studies have improved our understanding of the incidence and the trajectory of cognitive decline after cardiac surgery; however, the magnitude of this neurocognitive change remains controversial because of the inconsistent definitions and the lack of a gold-standard diagnostic modality. Nonetheless, physicians commonly see patients with functional and cognitive impairments after cardiac surgery, which utilize healthcare resources and impact quality of life. Novel approaches have utilized advanced neuroimaging techniques as well as innovative monitoring modalities to improve the efficiency of neuroprotective strategies during cardiac surgery. SUMMARY: Adverse cognitive and neurologic outcomes following cardiac surgery range from discrete neurocognitive deficits to severe neurologic injury such as stroke and even death. The elderly are at higher risk of suffering these outcomes and the public health dimension of this problem is expected to accelerate. Future studies should combine advanced neuroimaging with genomic, transcriptional, proteomic, and metabolomic profiling to improve our understanding of the pathophysiologic mechanisms and optimize the diagnosis, prevention, and treatment of neurocognitive injury.

Full Text

Duke Authors

Cited Authors

  • Bartels, K; McDonagh, DL; Newman, MF; Mathew, JP

Published Date

  • February 2013

Published In

Volume / Issue

  • 26 / 1

Start / End Page

  • 91 - 97

PubMed ID

  • 23235523

Pubmed Central ID

  • 23235523

Electronic International Standard Serial Number (EISSN)

  • 1473-6500

Digital Object Identifier (DOI)

  • 10.1097/ACO.0b013e32835bf24c

Language

  • eng

Conference Location

  • United States