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首页> 外文期刊>Journal of cardiopulmonary rehabilitation >Neuropsychological functioning among cardiac rehabilitation patients.
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Neuropsychological functioning among cardiac rehabilitation patients.

机译：心脏康复患者的神经心理功能。

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PURPOSE: The underlying pathophysiology contributing to coronary heart disease also predisposes patients to cerebrovascular disease and associated cognitive disorders. Although prior studies have focused on the neuropsychological sequelae of specific cardiac problems, few have examined the associated cognitive capacities and limitations of typical cardiac patients. The current study was designed to examine neuropsychological functioning among a sample of cardiac rehabilitation (CR) patients. METHODS: Using neuropsychological instruments, patients were compared in a CR program to age-matched outpatient control subjects who had no known history of cardiac or neurologic disease. Cardiac rehabilitation patients were then divided into dichotomous subgroups based on whether they had undergone coronary artery bypass grafting, had experienced a myocardial infarction, had hypertension, or had impaired ejection fraction. Neuropsychological functioning was examined relative to each of these factors. RESULTS: Cardiac rehabilitation patients had poorer neuropsychological test performance than did control subjects, with subtle relative deficits on measures of response generation, memory, and verbal abstraction, and particularly verbal fluency. Low ejection fraction, hypertension, and prior coronary artery bypass graft were associated with greater relative neuropsychological impairments. CONCLUSIONS: Although CR patients were not grossly neuropsychologically impaired as a group, it appears highly likely that many within a given program exhibit some degree of neuropsychological dysfunction. Including neuropsychological screening as part of pre-CR testing would help to identify such patients. This information may help staff to impart health care information in a manner that is most effective for the individual patient and may also be useful in the formation of realistic goals.
机译：目的：导致冠心病的潜在病理生理也使患者容易患脑血管疾病和相关的认知障碍。尽管先前的研究集中于特定心脏问题的神经心理学后遗症，但很少有人检查典型心脏患者的相关认知能力和局限性。当前的研究旨在检查心脏康复（CR）患者样本中的神经心理功能。方法：使用神经心理学仪器，将患者在CR程序中与年龄匹配的无心脏病或神经系统疾病病史的门诊对照组进行比较。然后根据是否接受过冠状动脉搭桥术，是否经历过心肌梗塞，是否患有高血压或射血分数受损，将心脏康复患者分为两类。相对于这些因素中的每一个，检查了神经心理学功能。结果：心脏康复患者的神经心理测试性能较对照对象差，在反应产生，记忆和言语抽象，尤其是言语流利性等方面存在细微的相对缺陷。低射血分数，高血压和先前的冠状动脉搭桥术与更大的相对神经心理学障碍有关。结论：尽管CR病人并没有严重的神经心理障碍，但很可能在给定程序中许多人表现出一定程度的神经心理功能障碍。在CR预测试中将神经心理学筛检包括在内将有助于识别此类患者。此信息可以帮助工作人员以对每个患者最有效的方式提供医疗保健信息，也可能有助于形成切合实际的目标。

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