Preoperational factors influencing the development of cognitive impairments in patients with coranary heart disease before coronary artery bypass grafting
https://doi.org/10.52485/19986173_2021_1_39
Abstract
Objective. To assess preoperational risk factors influencing the development of cognitive impairments in patients with coronary heart disease (CHD) prior to coronary artery bypass grafting.
Material and Methods. To study the clinical functional condition of the cardio-vascular system and cognitive functions in patients with CHD we examined 264 patients admitted to the “Federal center of cardio-vascular surgery” of the Ministry of Public Health of Krasnoyarsk for coronary artery bypass grafting. Five parallel groups were singled out: I (control group); II (comparison group); III, IV and V (depending on the type of follow-up rehabilitation). To exclude initial inter-group differences (before coronary artery bypass grafting), we carried out the comparative analysis of the patients’ clinical and anamnestic data.
Results: Preoperational risk factors (educational level, time duration of CHD and arterial hypertension, old myocardial infarction and a higher grade of angina pectoris, low left ventricle ejection fraction, elevated level of general cholesterol and triglycerides, degree of impairment and stenosis of the main arteries of the head) play an important role in the pathogenesis of cognitive impairments in patients with CHD.
Conclusion: These patients have such impairments even before coronary artery bypass grafting.
About the Authors
M. M. Petrova
Krasnoyarsk State Medical University named after V.F. Voino-Yasenetsky
Russian Federation
Russian Federation
1Partizana. ZHeleznyak str. Krasnoyarsk, 660022
V. V. Shprakh
Irkutsk State Medical Academy of Postgraduate Education – Branch Campus of the Federal State Budgetary Educational Institution of Further Professional Education «Russian Medical Academy of Continuing Professional Education» of the Ministry of Healthcare of the Russian Federation
Russian Federation
Russian Federation
Yubileyniy distr., 100, Irkutsk, 664049
O. V. Erуоmina
Krasnoyarsk State Medical University named after V.F. Voino-Yasenetsky
Russian Federation
Russian Federation
1Partizana. ZHeleznyak str. Krasnoyarsk, 660022
D. S. Kaskaeva
Krasnoyarsk State Medical University named after V.F. Voino-Yasenetsky
Russian Federation
Russian Federation
1Partizana. ZHeleznyak str. Krasnoyarsk, 660022
S. S. Eremina
Pirogov Russian National Research Medical University (RNRMU)
Russian Federation
Russian Federation
Moscow
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Review
For citations:
Petrova M.M., Shprakh V.V., Erуоmina O.V., Kaskaeva D.S., Eremina S.S. Preoperational factors influencing the development of cognitive impairments in patients with coranary heart disease before coronary artery bypass grafting. Transbaikalian Medical Bulletin. 2021;(1):39-50. (In Russ.) https://doi.org/10.52485/19986173_2021_1_39
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