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Belov Yu.V.

RNTsKh im. akad. B.V. Petrovskogo RAMN

Medvedeva L.A.

FGBU "RNTsKh im. akad. B.V. Petrovskogo" RAMN

Katunina E.A.

Department of Neurology, Neurosurgery and Medical Genetics of the Pirogov Russian National Research Medical University of the Ministry of Health of the Russia, Moscow, Russia

Zagorulko O.I.

Petrovsky Russian Research Center of Surgery

Drakina O.V.

Clinic of Aortic and Cardiovascular Surgery of I.M. Sechenov First Moscow State Medical University, Moscow

Oĭstrakh A.S.

Otdelenie kardioreanimatsii Rossiĭskogo nauchnogo tsentra khirurgii im. akad. B.V. Petrovskogo RAMN, Moskva

Differential diagnosis of neurological conditions in cardiac patients on the first day after cardiac, ascending aortic and aortic arch surgery and repair of internal carotid arteries

Authors:

Belov Yu.V., Medvedeva L.A., Katunina E.A., Zagorulko O.I., Drakina O.V., Oĭstrakh A.S.

More about the authors

Journal: Pirogov Russian Journal of Surgery. 2019;(12): 5‑12

DOI: 10.17116/hirurgia20191215

Read: 3187 times

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DIFFERENTIAL DIAGNOSIS OF NEUROLOGICAL CONDITIONS IN CARDIAC PATIENTS ON THE FIRST DAY AFTER CARDIAC, ASCENDING AORTIC AND AORTIC ARCH SURGERY AND REPAIR OF INTERNAL CAROTID ARTERIES
DIFFERENTIAL DIAGNOSIS OF NEUROLOGICAL CONDITIONS IN CARDIAC PATIENTS ON THE FIRST DAY AFTER CARDIAC, ASCENDING AORTIC AND AORTIC ARCH SURGERY AND REPAIR OF INTERNAL CAROTID ARTERIES

To cite this article:

Belov YuV, Medvedeva LA, Katunina EA, Zagorulko OI, Drakina OV, Oĭstrakh AS. Differential diagnosis of neurological conditions in cardiac patients on the first day after cardiac, ascending aortic and aortic arch surgery and repair of internal carotid arteries. Pirogov Russian Journal of Surgery. 2019;(12):5‑12. (In Russ.)
https://doi.org/10.17116/hirurgia20191215

Подписка 2026 Хирургия. Журнал им. Н.И. Пирогова (Pirogov Russian Journal of Surgery)
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Abstract:

The review is devoted to analysis of current trends in interdisciplinary approach to the differential diagnosis of patients’ conditions on the first day after cardiac, ascending aortic and aortic arch surgery and repair of internal carotid arteries (neurological disorders, delirium, cognitive dysfunction, psycho-emotional disorders, postoperative sedation). This approach is valuable to determine the prognosis and timely treatment. The basic concepts reflecting the discussion between neurologists, cardiovascular surgeons, anesthetists, radiation diagnostics specialists and rehabilitators are summarized. The authors concluded that timely and correct differential diagnosis of the states on the first postoperative day using current tests and interdisciplinary approach to the treatment of patients with postoperative impaired consciousness or neurological/psycho-emotional dysfunction can improve their quality of life and efficiency of medical care.

Keywords:

postoperative cognitive dysfunction
impairment of consciousness
delirium
neurological disorders
neurocognitive deficit
psycho-emotional disorders

Authors:

Belov Yu.V.

RNTsKh im. akad. B.V. Petrovskogo RAMN

Medvedeva L.A.

FGBU "RNTsKh im. akad. B.V. Petrovskogo" RAMN

Katunina E.A.

Department of Neurology, Neurosurgery and Medical Genetics of the Pirogov Russian National Research Medical University of the Ministry of Health of the Russia, Moscow, Russia

Zagorulko O.I.

Petrovsky Russian Research Center of Surgery

Drakina O.V.

Clinic of Aortic and Cardiovascular Surgery of I.M. Sechenov First Moscow State Medical University, Moscow

Oĭstrakh A.S.

Otdelenie kardioreanimatsii Rossiĭskogo nauchnogo tsentra khirurgii im. akad. B.V. Petrovskogo RAMN, Moskva

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