Динамика оценки когнитивных функций и неврологической симптоматики у пациентов с ишемической болезнью сердца после операции коронарного шунтирования

We evaluated the occurring changes of cognitive function and neurological status in patients with coronary artery disease who were operative treatment (coronary artery bypass grafting in a planned way). Material and methods. The study included 192 patients who are divided into 3 groups. In the first group of differentiated methods – DM - 61 people, the second group of the usual methods – UM – 88 persons and a control group – 43 people. Neurological testing is done on scales MMSE, FAB, clock drawing test, Shultz tables, semantic verbal fluency, Wechsler adult intelligence scale. Issue: There greater stability of cognitive function in a group of differentiated methods, in the group UM changed parameters of almost all neuropsychological tests, which is manifested in violation of understanding simple instructions, slowdown in the performance of tasks, inertia, increased fatigability of mental activity, violation of the decision-making, loss of understanding of the error in the performance of tasks. Patients without neurological symptoms DM group in the preoperative period have a chance of improving cognitive functions in 3,4 times in comparison with UM.