About impaired minds and closed hearts

doi:10.1136/bmj.325.7375.1255

BMJ 2002;325:1255-1256 ( 30 November )

Editorials

About impaired minds and closed hearts

Off-pump coronary artery bypass grafting may be associated with lesser postoperative neurocognitive impairment

Papers p 1268

The first 150 words of the full text of this article appear below.

Coronary artery bypass grafting is highly effective in improving the quality of life for patients with ischaemic heart diseaseand the life expectancy for certain anatomical patterns of ischaemicheart disease. Consequently, coronary artery bypass grafting iscurrently perhaps one of the most commonly performed major operationsin the industrialised world; more than a million procedures areperformed worldwide every year. Unfortunately subtle impairmentof cognitive function is common after surgery and may be relatedto cardiopulmonary bypass at the time ofsurgery.

Over the past decade advances in anaesthesia, surgery, and perioperative management of patients resulted in mortality of coronaryartery bypass grafting remaining at 2-3% despite a marked increasein the risk profile of such procedures. Brain injury is now themost feared complication of coronary artery bypass grafting andoccurs in two forms.¹ Although clinically overt cerebral injuryis infrequent (around 3% of patients have a stroke) . . . [Full text of this article]

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Assessment of neurocognitive impairment after off-pump and on-pump techniques for coronary artery bypass graft surgery: prospective randomised controlled trial: Vipin Zamvar, David Williams, Judith Hall, Nicola Payne, Clare Cann, Karen Young, S Karthikeyan, and John Dunne
BMJ 2002 325: 1268. [Abstract] [Full Text] [PDF]

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