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The Journal of Thoracic and Cardiovascular Surgery, Vol 96, 326-331, Copyright © 1988 by The American Association for Thoracic Surgery and The Western Thoracic Surgical Association
TA Hammeke and JE Hastings
To study the incidence and course of neuropsychologic sequelae from cardiac
operation, a battery of tests was administered to 46 patients before and
after coronary artery bypass surgery. Their performance was compared with
that of 14 peripheral vascular surgery patients and 26 nonsurgical control
patients. A subsample of each group was studied again 6 months later. Test
results were consistent with previous reports. Neuropsychologic deficits
after cardiac operation are not uncommon, though they are often subtle and
generally resolve by the sixth month after operation. Postoperative deficit
was significant on measures of attention, psychomotor speed, and fine motor
dexterity, but considerable interpatient performance variability was noted.
Other findings imply that nonspecific aspects or surgery may make a
substantial contribution to the immediate postoperative deficit in patients
who have cardiac operations.
ARTICLES
Neuropsychologic alterations after cardiac operation
Department of Neurology, Medical College of Wisconsin, Milwaukee 53226.
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