Cargando…
Cognitive impairment after sudden cardiac arrest
AIM: To evaluate the incidence and severity of the impairment of selected cognitive functions in patients after sudden cardiac arrest (SCA) in comparison to patients after myocardial infarction without SCA and healthy subjects and to analyze the influence of sociodemographic and clinical parameters...
Autores principales: | , , , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Termedia Publishing House
2016
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5233778/ https://www.ncbi.nlm.nih.gov/pubmed/28096845 http://dx.doi.org/10.5114/kitp.2016.64893 |
_version_ | 1782494891659493376 |
---|---|
author | Jaszke-Psonka, Magdalena Piegza, Magdalena Ścisło, Piotr Pudlo, Robert Piegza, Jacek Badura-Brzoza, Karina Leksowska, Aleksandra Hese, Robert T. Gorczyca, Piotr W. |
author_facet | Jaszke-Psonka, Magdalena Piegza, Magdalena Ścisło, Piotr Pudlo, Robert Piegza, Jacek Badura-Brzoza, Karina Leksowska, Aleksandra Hese, Robert T. Gorczyca, Piotr W. |
author_sort | Jaszke-Psonka, Magdalena |
collection | PubMed |
description | AIM: To evaluate the incidence and severity of the impairment of selected cognitive functions in patients after sudden cardiac arrest (SCA) in comparison to patients after myocardial infarction without SCA and healthy subjects and to analyze the influence of sociodemographic and clinical parameters and the duration of cardiac arrest on the presence and severity of the described disorders. MATERIAL AND METHODS: The study group comprised 30 cardiac arrest survivors, the reference group comprised 31 survivors of myocardial infarction without cardiac arrest, and the control group comprised 30 healthy subjects. The Mini-Mental State Examination (MMSE), the Digit Span test from the Wechsler Adult Intelligence Scale, Lauretta Bender’s Visual-Motor Gestalt Test, and the Benton Visual Retention Test (BVRT) were used to assess the presence of cognitive impairment. An original questionnaire developed by the author was used for overall mental state assessment. RESULTS: The Bender test demonstrated a significant difference in the presence and severity of visual-motor skills between the study group and the control group, while BVRT and MMSE revealed increased incidence of cognitive impairment in the study group. The Bender and BVRT (D/D)/SS (version D, method D, scaled score) scales indicated cognitive impairment in 53.3% of these patients, while the BVRT (C/A)/SS test indicated cognitive impairment in 40%. For the reference group, the values were 32.3% and 12.9%, respectively. No correlation was found between the severity of cognitive impairment and the duration of cardiac arrest. CONCLUSIONS: Impairment of visual-motor skills, short-term visual memory, concentration, and visual-motor coordination occurs much more frequently and is more severe in individuals after SCA than in healthy individuals. Impairment of memory trace storage and recall after delay occurs more frequently in patients after SCA than in patients after myocardial infarction without cardiac arrest and in healthy individuals. SCA duration did not have any influence on the severity of the described disorders. |
format | Online Article Text |
id | pubmed-5233778 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2016 |
publisher | Termedia Publishing House |
record_format | MEDLINE/PubMed |
spelling | pubmed-52337782017-01-17 Cognitive impairment after sudden cardiac arrest Jaszke-Psonka, Magdalena Piegza, Magdalena Ścisło, Piotr Pudlo, Robert Piegza, Jacek Badura-Brzoza, Karina Leksowska, Aleksandra Hese, Robert T. Gorczyca, Piotr W. Kardiochir Torakochirurgia Pol Quality in Medicine AIM: To evaluate the incidence and severity of the impairment of selected cognitive functions in patients after sudden cardiac arrest (SCA) in comparison to patients after myocardial infarction without SCA and healthy subjects and to analyze the influence of sociodemographic and clinical parameters and the duration of cardiac arrest on the presence and severity of the described disorders. MATERIAL AND METHODS: The study group comprised 30 cardiac arrest survivors, the reference group comprised 31 survivors of myocardial infarction without cardiac arrest, and the control group comprised 30 healthy subjects. The Mini-Mental State Examination (MMSE), the Digit Span test from the Wechsler Adult Intelligence Scale, Lauretta Bender’s Visual-Motor Gestalt Test, and the Benton Visual Retention Test (BVRT) were used to assess the presence of cognitive impairment. An original questionnaire developed by the author was used for overall mental state assessment. RESULTS: The Bender test demonstrated a significant difference in the presence and severity of visual-motor skills between the study group and the control group, while BVRT and MMSE revealed increased incidence of cognitive impairment in the study group. The Bender and BVRT (D/D)/SS (version D, method D, scaled score) scales indicated cognitive impairment in 53.3% of these patients, while the BVRT (C/A)/SS test indicated cognitive impairment in 40%. For the reference group, the values were 32.3% and 12.9%, respectively. No correlation was found between the severity of cognitive impairment and the duration of cardiac arrest. CONCLUSIONS: Impairment of visual-motor skills, short-term visual memory, concentration, and visual-motor coordination occurs much more frequently and is more severe in individuals after SCA than in healthy individuals. Impairment of memory trace storage and recall after delay occurs more frequently in patients after SCA than in patients after myocardial infarction without cardiac arrest and in healthy individuals. SCA duration did not have any influence on the severity of the described disorders. Termedia Publishing House 2016-12-30 2016-12 /pmc/articles/PMC5233778/ /pubmed/28096845 http://dx.doi.org/10.5114/kitp.2016.64893 Text en Copyright © 2016 Polish Society of Cardiothoracic Surgeons (Polskie Towarzystwo KardioTorakochirurgów) and the editors of the Polish Journal of Cardio-Thoracic Surgery (Kardiochirurgia i Torakochirurgia Polska) http://creativecommons.org/licenses/by-nc-sa/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International (CC BY-NC-SA 4.0) License, allowing third parties to copy and redistribute the material in any medium or format and to remix, transform, and build upon the material, provided the original work is properly cited and states its license. |
spellingShingle | Quality in Medicine Jaszke-Psonka, Magdalena Piegza, Magdalena Ścisło, Piotr Pudlo, Robert Piegza, Jacek Badura-Brzoza, Karina Leksowska, Aleksandra Hese, Robert T. Gorczyca, Piotr W. Cognitive impairment after sudden cardiac arrest |
title | Cognitive impairment after sudden cardiac arrest |
title_full | Cognitive impairment after sudden cardiac arrest |
title_fullStr | Cognitive impairment after sudden cardiac arrest |
title_full_unstemmed | Cognitive impairment after sudden cardiac arrest |
title_short | Cognitive impairment after sudden cardiac arrest |
title_sort | cognitive impairment after sudden cardiac arrest |
topic | Quality in Medicine |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5233778/ https://www.ncbi.nlm.nih.gov/pubmed/28096845 http://dx.doi.org/10.5114/kitp.2016.64893 |
work_keys_str_mv | AT jaszkepsonkamagdalena cognitiveimpairmentaftersuddencardiacarrest AT piegzamagdalena cognitiveimpairmentaftersuddencardiacarrest AT scisłopiotr cognitiveimpairmentaftersuddencardiacarrest AT pudlorobert cognitiveimpairmentaftersuddencardiacarrest AT piegzajacek cognitiveimpairmentaftersuddencardiacarrest AT badurabrzozakarina cognitiveimpairmentaftersuddencardiacarrest AT leksowskaaleksandra cognitiveimpairmentaftersuddencardiacarrest AT heserobertt cognitiveimpairmentaftersuddencardiacarrest AT gorczycapiotrw cognitiveimpairmentaftersuddencardiacarrest |