Neurocognitive and Psychiatric Issues Post Cardiac Surgery

Ben Indja; Michael Seco; Richard Seamark; Jason Kaplan; Paul G Bannon; Stuart M Grieve; Michael P Vallely

doi:10.1016/j.hlc.2016.12.010

Neurocognitive and Psychiatric Issues Post Cardiac Surgery

Heart Lung Circ. 2017 Aug;26(8):779-785. doi: 10.1016/j.hlc.2016.12.010. Epub 2017 Feb 6.

Authors

Ben Indja¹, Michael Seco², Richard Seamark³, Jason Kaplan⁴, Paul G Bannon², Stuart M Grieve⁵, Michael P Vallely⁶

Affiliations

¹ Sydney Medical School, The University of Sydney, Sydney, NSW, Australia; The Baird Institute of Applied Heart & Lung Surgical Research, Sydney, NSW, Australia; Sydney Translational Imaging Laboratory, Heart Research Institute, Charles Perkins Centre, University of Sydney, NSW, Australia.
² Sydney Medical School, The University of Sydney, Sydney, NSW, Australia; The Baird Institute of Applied Heart & Lung Surgical Research, Sydney, NSW, Australia; Royal Prince Alfred Institute of Academic Surgery, Sydney, NSW, Australia; Cardiothoracic Surgery Unit, Royal Prince Alfred Hospital, Sydney, NSW, Australia.
³ Sunshine Coast Mental Health and Addiction Services, Sydney, NSW, Australia.
⁴ Macquarie University Hospital, Sydney, NSW, Australia.
⁵ Sydney Medical School, The University of Sydney, Sydney, NSW, Australia; Sydney Translational Imaging Laboratory, Heart Research Institute, Charles Perkins Centre, University of Sydney, NSW, Australia; Department of Radiology, Royal Prince Alfred Hospital, Sydney, NSW, Australia.
⁶ Sydney Medical School, The University of Sydney, Sydney, NSW, Australia; The Baird Institute of Applied Heart & Lung Surgical Research, Sydney, NSW, Australia; Royal Prince Alfred Institute of Academic Surgery, Sydney, NSW, Australia; Macquarie University Hospital, Sydney, NSW, Australia; Cardiothoracic Surgery Unit, Royal Prince Alfred Hospital, Sydney, NSW, Australia. Electronic address: michael.vallely@bigpond.com.

PMID: 28237537
DOI: 10.1016/j.hlc.2016.12.010

Abstract

Neurocognitive and psychiatric complications are common following cardiac surgery and impact on patient quality of life, recovery from surgery, participation in rehabilitation and long-term mortality. Postoperative cognitive decline, depressive disorders, post-traumatic stress disorder and neurocognitive impairment related to silent brain infarcts have all been linked to the perioperative period of cardiac surgery, and potentially have serious consequences. The accurate assessment of these conditions, particularly in determining the aetiology, and impact on patients is difficult due to the poorly recognised nature of these complications as well as similarities in presentation with postoperative delirium. This review aims to summarise current understanding surrounding psychiatric disturbances following cardiac surgery including the impact on patient quality of life and long-term outcomes.

Keywords: Cardiac surgical procedures; Mental disorders; Neuropsychiatry; Postoperative cognitive dysfunction.

Publication types

Review

MeSH terms

Cardiac Surgical Procedures / adverse effects*
Cognitive Dysfunction* / etiology
Cognitive Dysfunction* / psychology
Cognitive Dysfunction* / rehabilitation
Delirium* / etiology
Delirium* / psychology
Delirium* / rehabilitation
Humans
Quality of Life*
Stress Disorders, Post-Traumatic* / etiology
Stress Disorders, Post-Traumatic* / psychology
Stress Disorders, Post-Traumatic* / rehabilitation