NEW YORK, Nov 4 (bdnews24.com/Reuters) - in a new study of German heart patients, people deal, the invasive surgery and those who less showed invasive placement stent declines in thinking and memory subject to a few months after the procedure.Doctors have been concerned about cognitive decline in patients with coronary artery bypass grafting (CABG) as a result of blocked arteries undergo a long time, and in fact, memory were deficits more significant after these procedures than after stenting.
Nevertheless not the results prove it is the procedure itself, that cause memory decline that-it might just be that plaque build up in blood vessels in the heart and the brain in the same patient caused a lot of problems.
"These patients have obviously all atherosclerosis," said Dr. Mark Newman of cognitive studies after cardiac surgery at Duke University to decline medical center in Durham, North Carolina.
"You have atherosclerosis of the coronary vessels, you have it probably in other ships in your body also."
Patients treated with CABG are often in poor condition, with the further development, as those who undergo stenting. It that "cognitive degradation" might be after this procedure applies to more on the severity of atherosclerosis as the procedure itself, said Newman, who was involved in the new studies, Reuters Health. "I think this is still a debate."
Nevertheless said it makes sense that if cholesterol built-up in the heart ships came loose during operation is, could it cause travel and problems to the brain, researchers.
The current study included 37 patients receive a stent placed and a further 47 in CABG, above all in their 60s and early 70s. Ago and three months after the operations the participants completed a series of were thinking and memory tests to measure, recall how well they come with or certain keywords, symbols and images.
The changes in their test results were compared to those of an other 33 healthy volunteers.
Patients in the stent Group had a major drop in score on two of the 10 tests compared to controls, a few months after their procedure. Bypass patients results on seven tests has slowed down.
Dr. Tibo Gerriets of Justus Liebig-Universität Gießen and colleagues write in the American Journal of heart, that it was clear how much the cognitive changes, which really bothers people in their daily lives after heart procedure occur.
But Newman said that this type is different from changes in thinking and memory abilities in some patients may require independent living and additional help.
Dr. Todd Rosengart, head of heart-chest surgery at Stony Brook University Medical Center in New York, said that the risk of cognitive decline after bypass surgery of which depend on how the procedure has done popular - and doctors, the German operations executed, not the best techniques may be used to protect patients against these risks.
"Today (a procedure to do) very well it means not only the patients through the process with no mortality this get through the procedure well in form," he told Reuters Health.
Heart patients, he said, should not their surgeons about the steps that they are doing to protect their brains by the intervention of shy away from issues.
With good surgeon in a good hospital should not likely, that think and memory problems on the bypass operation greater than a 20, his Rosengart added.
Heart procedure "safer and more secure receive" agreed Newman. "I don't think that people overly concerned (cognitive decline) should." "I think they should have the right treatment to help them as a whole, and see options, how they can improve their quality of life."
bdnews24.com/RN/1001h
Source: bdnews24.com
Read More on Noakhali News
No comments:
Post a Comment