الفهرس | Only 14 pages are availabe for public view |
Abstract Improvements in open heart surgical technique that have been introduced over the past decade may have resulted in better preservation of cognitive function after open heart surgery compared with earlier analyses. Further, Cognitive decline after open-heart surgery has been the subject of a number of conflicting reports in recent years. Interest in identifying physiological bases that explain how the variation in state of mind can influence the postoperative recovery of patients subjected to surgery has led to a number of studies, and some have reported high levels of preoperative anxiety and depression with harmful changes in the neuroendocrine response (cortisol and interleukin synthesis) during the postoperative period in these patients. The authors of some studies carried out with patients undergoing cardiac surgery regard preoperative anxiety and depression as cardiovascular risk factors. They conclude that both disorders can lead to the development of a greater number of postoperative complications over the medium and long terms and result in a lower recovery rate for the performance of activities of daily living, as well as a higher prevalence of chronic postoperative pain, rate of hospital readmissions, and incidence of adverse cardiac events, and lower overall survival. Anxiety and depression symptoms are known to have high prevalence rates before cardiac surgery, with decreasing rates after surgery. Both disorders often occur simultaneously, and interrelationships are relatively strong. It predicts increased morbidity and mortality in cardiac patients. Thus, effective |