Cognitive decline after cardiac valve replacement not a given

ST. PAUL, MN -- A new study challenges previous findings that patients undergoing elective coronary bypass grafting (CABG), or valve replacement, experience long-term cognitive decline. According to the study published in Neurology, the scientific journal of the American Academy of Neurology, that's not always the case.

The study compared the cognitive abilities of 52 patients prior to their CABG surgery and five years after. None of the patients showed clinically significant cognitive decline (defined as a decline of 1 standard deviation or more in at least two of the seven-part Wilcoxon tests administered).

Other studies have reported late cognitive decline after CABG, however, none of these long-term follow-up studies included a control group like this one conducted at a hospital in Wrzburg, Germany. According to neurologist Wolfgang Mllges, MD, the study author, "No individual patient showed a global decline at follow-up as compared to baseline. Seven patients (13 percent) had worse results in one single test."

The researchers also compared follow-up data with data obtained at discharge. Even then, only four patients (8 percent) showed a standard deviation of more than 1 percent in two of the tests. Sixteen patients (31 percent) had lower follow-up test scores in only one of the tests, and 46 (88 percent) had better results in at least one test.

The patients in this study may have had better outcomes through general medical care and by reducing vascular risk factors following their CAGB, said Mllges. "Many of the individuals had stopped smoking, many were prescribed statins, and many took steps to control their diabetes and hypertension," said Mllges.

A shortcoming of the study was a lack of data or incomplete data from a portion of the 92 original members of the patient group which may have introduced a bias toward a better outcome.

Mllges said neurologists work with their patients to provide care that reduces vascular risk fo

Contact: Cheryl Alementi
American Academy of Neurology

Page: 1 2

Related medicine news :

1. Cognitive behavioral therapy and medication is effective in the treatment of panic disorder
2. Cognitive behavioral therapy combined with antidepressant effective in treating adolescent OCD
3. Aha! Cognitive neuroscientists reveal creative brain processes
4. Cognitive behavior therapy effective for treating people with hypochondria
5. Cognitive impairment worse than expected in seniors, says University of Pittsburgh study
6. Study: Cognitive therapy at least as effective as drugs in treating severe depression
7. Cognitive neuroscience takes on alcohol
8. What does the man-machine system demand? Cognitive task analysis in medical decision making
9. Sex Differences Found In Proportions Of Gray And White Matter In The Brain: Links To Differences In Cognitive Performance Seen
10. NIA Launches National Study To Treat Mild Cognitive Impairment
11. US life expectancy about to decline, researchers say

Post Your Comments:

(Date:3/30/2021)... , ... March 29, 2021 , ... ... the 21st Century , A Virtual Workshop Presented by WCG FDAnews and Cerulean ... 4:30 pm EDT, https://wcg.swoogo.com/modern-sop-and-quality-systems , Are one’s SOPs written for the ...
(Date:3/30/2021)... ... March 29, 2021 , ... According to data released ... reproductive age (13-44) in need of publicly funded contraception live in counties impacted by ... Colorado’s 64 counties have lost some of their Title X resources. , The ...
(Date:3/30/2021)... ... March 29, 2021 , ... Health Literacy Innovations (HLI), a ... confusion due to low health literacy today announces a new partnership with the ... work with ACAP’s member Safety Net Health Plans, those that provide comprehensive health ...
(Date:3/30/2021)... ... ... Dr. Colin Campbell is proud to announce the 1 year anniversary in their new state ... internal medicine and is a primary care specialist who has been practicing for 23 years. ... keep South Jersey healthy one patient at a time. , “Over the past year, Dr. ...
(Date:3/30/2021)... ... March 30, 2021 , ... The COVID-19 ... and survivors; their families; and their caregivers. Crossroads4Hope is addressing the needs of ... emotional support system, MyGo2Support, which meets needs of people impacted by cancer, no ...
Breaking Medicine News(10 mins):
(Date:3/30/2021)... ... March 29, 2021 , ... The University of Texas Health Science Center ... San Antonio Multispecialty and Research Hospital, a destination center for research and treatment of ... In a nod to the COVID-19 pandemic, the ceremony was held virtually. , William ...
(Date:3/30/2021)... ... March 29, 2021 , ... Iora Health ... primary care, has partnered with Devoted Health , one of the fastest-growing ... across Maricopa County and provides seniors with the highest-quality care and experience possible, ...
(Date:3/30/2021)... CITY (PRWEB) , ... March 29, 2021 , ... ... has joined the Vaccine Credential Initiative (VCI), a group bringing together leading health ... record of vaccination status, based on open, interoperable standards. By joining the VCI ...
Breaking Medicine Technology:
Cached News: