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Visual Hallucinations following Coronary Artery Bypass Grafting: A Prospective Study

Background and Objectives: After major heart surgery, some patients report visual hallucinations that cannot be attributed to psychosis or delirium. This study aimed to investigate the hallucination incidence in patients after coronary artery bypass grafting with (on-pump) and without (off-pump) ext...

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Autores principales: Tschernatsch, Marlene, El Shazly, Jasmin, Butz, Marius, Lie, Sa-Ra, Yeniguen, Mesut, Braun, Tobias, Bachmann, Georg, Schoenburg, Markus, Gerriets, Tibo, Schramm, Patrick, Juenemann, Martin
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9610531/
https://www.ncbi.nlm.nih.gov/pubmed/36295626
http://dx.doi.org/10.3390/medicina58101466
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author Tschernatsch, Marlene
El Shazly, Jasmin
Butz, Marius
Lie, Sa-Ra
Yeniguen, Mesut
Braun, Tobias
Bachmann, Georg
Schoenburg, Markus
Gerriets, Tibo
Schramm, Patrick
Juenemann, Martin
author_facet Tschernatsch, Marlene
El Shazly, Jasmin
Butz, Marius
Lie, Sa-Ra
Yeniguen, Mesut
Braun, Tobias
Bachmann, Georg
Schoenburg, Markus
Gerriets, Tibo
Schramm, Patrick
Juenemann, Martin
author_sort Tschernatsch, Marlene
collection PubMed
description Background and Objectives: After major heart surgery, some patients report visual hallucinations that cannot be attributed to psychosis or delirium. This study aimed to investigate the hallucination incidence in patients after coronary artery bypass grafting with (on-pump) and without (off-pump) extracorporeal circulation. Materials and Methods: A total of 184 consecutive patients listed for elective on- or off-pump coronary artery bypass grafting were prospectively enrolled into the study. Preoperative baseline investigations 24–48 h before surgery (t0) and postoperative follow-up 24–48 h (t1) and 5–6 days (t2) after surgery included cognitive testing and a clinical visual acuity test (Landolt rings). Patients reporting visual hallucinations were interviewed using a structured survey to record the type, timing, duration, and frequency of their hallucinations. All the patients received a neurological examination and cranial magnetic resonance imaging if indicated. Results: Of the patients in the sample, 155 patients underwent on-pump bypass surgery, and 29 patients received off-pump surgery. Of these, 25 patients in the on-pump group, but none in the off-pump group, reported transient visual hallucinations (p = 0.020), which could not be attributed to stroke, delirium, psychosis, migraine, or severely impaired vision. Significant correlations were observed for the occurrence of visual hallucinations and the amount of nicotine consumption and aortic clamp/extracorporeal circulation time. Conclusions: Transient visual hallucinations occur in a noticeable proportion of patients after on-pump heart surgery. Knowledge of the phenomenon’s benignity is important for patients to prevent anxiety and uncertainty and for treating physicians to avoid unnecessary medication and drug-induced delirium.
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spelling pubmed-96105312022-10-28 Visual Hallucinations following Coronary Artery Bypass Grafting: A Prospective Study Tschernatsch, Marlene El Shazly, Jasmin Butz, Marius Lie, Sa-Ra Yeniguen, Mesut Braun, Tobias Bachmann, Georg Schoenburg, Markus Gerriets, Tibo Schramm, Patrick Juenemann, Martin Medicina (Kaunas) Article Background and Objectives: After major heart surgery, some patients report visual hallucinations that cannot be attributed to psychosis or delirium. This study aimed to investigate the hallucination incidence in patients after coronary artery bypass grafting with (on-pump) and without (off-pump) extracorporeal circulation. Materials and Methods: A total of 184 consecutive patients listed for elective on- or off-pump coronary artery bypass grafting were prospectively enrolled into the study. Preoperative baseline investigations 24–48 h before surgery (t0) and postoperative follow-up 24–48 h (t1) and 5–6 days (t2) after surgery included cognitive testing and a clinical visual acuity test (Landolt rings). Patients reporting visual hallucinations were interviewed using a structured survey to record the type, timing, duration, and frequency of their hallucinations. All the patients received a neurological examination and cranial magnetic resonance imaging if indicated. Results: Of the patients in the sample, 155 patients underwent on-pump bypass surgery, and 29 patients received off-pump surgery. Of these, 25 patients in the on-pump group, but none in the off-pump group, reported transient visual hallucinations (p = 0.020), which could not be attributed to stroke, delirium, psychosis, migraine, or severely impaired vision. Significant correlations were observed for the occurrence of visual hallucinations and the amount of nicotine consumption and aortic clamp/extracorporeal circulation time. Conclusions: Transient visual hallucinations occur in a noticeable proportion of patients after on-pump heart surgery. Knowledge of the phenomenon’s benignity is important for patients to prevent anxiety and uncertainty and for treating physicians to avoid unnecessary medication and drug-induced delirium. MDPI 2022-10-16 /pmc/articles/PMC9610531/ /pubmed/36295626 http://dx.doi.org/10.3390/medicina58101466 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Tschernatsch, Marlene
El Shazly, Jasmin
Butz, Marius
Lie, Sa-Ra
Yeniguen, Mesut
Braun, Tobias
Bachmann, Georg
Schoenburg, Markus
Gerriets, Tibo
Schramm, Patrick
Juenemann, Martin
Visual Hallucinations following Coronary Artery Bypass Grafting: A Prospective Study
title Visual Hallucinations following Coronary Artery Bypass Grafting: A Prospective Study
title_full Visual Hallucinations following Coronary Artery Bypass Grafting: A Prospective Study
title_fullStr Visual Hallucinations following Coronary Artery Bypass Grafting: A Prospective Study
title_full_unstemmed Visual Hallucinations following Coronary Artery Bypass Grafting: A Prospective Study
title_short Visual Hallucinations following Coronary Artery Bypass Grafting: A Prospective Study
title_sort visual hallucinations following coronary artery bypass grafting: a prospective study
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9610531/
https://www.ncbi.nlm.nih.gov/pubmed/36295626
http://dx.doi.org/10.3390/medicina58101466
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