PROGNOSTIC ROLE OF EEG INDICATORS FOR CHANGES IN COGNITIVE PERFORMANCE IN PATIENTS IN THE EARLY AND LONG-TERM POSTOPERATIVE PERIODS OF CORONARY ARTERY BYPASS GRAFTING
https://doi.org/10.17802/2306-1278-2018-7-1-56-60
Abstract
Aim. To study the prognostic role of background EEG activity indicators recorded in patients in the preoperative period of coronary artery bypass grafting (CABG) for the development of cognitive impairment in the early and late postoperative periods.
Methods. A total of 85 patients with coronary artery disease (CAD) who underwent CABG were included in the study. Before CABG (3-5 days) all neuropsychological testing and EEG studies were performed, at the 7-10th days and 1 year after CABG only neuropsychological testing. EEG predictors of early (n = 85) and long-term (n = 65) postoperative cognitive dysfunction were detected using the method of multiple linear regression.
Results. EEG predictors of deterioration of cognitive status in the early postoperative period of CABG were basic higher values of theta-rhythm power in the posterior regions of the cortex of both hemispheres with closed and open eyes. Whereas higher preoperative parameters of beta2-rhythm biopotentials in the left frontal areas with eyes open and lower alpha-rhythm power in the left occipital parts of the cerebral cortex with eyes closed were associated with long-term postoperative cognitive dysfunction.
Conclusion. associations of preoperative eeg indicators with deteriorations of cognitive status in the early and longterm postoperative periods of cabg were revealed.
About the Authors
I. V. Tarasova
Federal State Budgetary Institution “Research Institute for Complex Issues of Cardiovascular Diseases”
Russian Federation
Russian Federation
Corresponding author: Irina V. Tarasova, taddress: Russian Federation, 650002, Kemerovo, 6, Sosnoviy blvd.
O. A. Trubnikova
Federal State Budgetary Institution “Research Institute for Complex Issues of Cardiovascular Diseases”
Russian Federation
Kemerovo
Russian Federation
Kemerovo
O. I. Barbarash
Federal State Budgetary Institution “Research Institute for Complex Issues of Cardiovascular Diseases”
Russian Federation
Kemerovo
Russian Federation
Kemerovo
L. S. Barbarash
Federal State Budgetary Institution “Research Institute for Complex Issues of Cardiovascular Diseases”
Russian Federation
Kemerovo
Russian Federation
Kemerovo
References
1. Cygan N.V., Odinak M.M., Peleshok A.S., Marchenko S.P., Naumov A.B., Trashkov A.P., Vasil’ev A.G., Hubulava G.G., Levanovich V.V. Neuroprotection in reconstructive surgery of aortic arch. Vestnik Rossijskoj voenno-medicinskoj akademii. 2012; 2 (38): 119-127. (In Russ).
2. Funder K.S., Steinmetz J, Rasmussen LS. Cognitive dysfunction after cardiovascular surgery. Minerva Anestesiol. 2009; 75(5): 329-332.
3. Deiner S., Silverstein J.H. Postoperative delirium and cognitive dysfunction. Br JAnaesth. 2009; 103 Suppl 1: i41-46. doi: 10.1093/bja/aep291.
4. Goluhova E.Z., Polunina A.G., Lefterova N.P., Morelli O.D., Begachjov A.V. Jelektrojencefalografija kak instrument diagnostiki ishemicheskih izmenenij golovnogo mozga posle aortokoronarnogo shuntirovanija. Kreativnaja kardiologija. 2012; 1: 107-122. (In Russ.).
5. Gehring H., L. Meyer zu Westrup, Boye S., Opp A., Hofmann U. Transcranial doppler, EEG and SEP monitoring. Appl Cardiopulm Pathophysiol. 2009; 13: 26-00.
6. Babiloni C., Lizio R, Vecchio F, Frisoni GB, Pievani M, Geroldi C, Claudia F, Ferri R, Lanuzza B, Rossini PM. Reactivity of cortical alpha rhythms to eyeopening in mild cognitive impairment and Alzheimer’s disease: an EEG study. J Alzheimers Dis. 2010; 22(4): 1047-1064. doi: 10.3233/JAD-2010-100798.
7. Moretti D.V., Frisoni G.B., Fracassi C., Pievani M., Geroldi C., Binetti G., Rossini P.M., Zanetti O. MCI patients’ EEGs show group differences between those who progress and those who do not progress to AD. Neurobiol Aging. 2011; 32(4): 563-571. doi: 10.1016/j.neurobiolaging.2009.04.003.
8. Barbarash O.L., Trubnikova O.A. Posleoperacionnye kognitivnye narushenija pri koronarnom shuntirovanii. Kemerovo: AI «Kuzbassvuzizdat». 2016. 139 s. (In Russ).
9. Ivanov V.I., Litvinova N.A., Berezina M.G. Avtomatizirovannyj kompleks dlja individual’noj ocenki individual’no-tipologicheskih svojstv i funkcional’nogo sostojanija organizma cheloveka «STATUS PF». Valeologija. 2004; 4: 70-73. (In Russ).
10. Tarasova I.V., Trubnikova O.A., Barbarash O.L., Barbarash L.S. EEG changes in patients with early and long-term postoperative cognitive dysfunction after on-pump coronary artery bypass surgery. Nevrologicheskij zhurnal. 2017. T. 22. № 3. S. 136-141. (In Russ).
11. Machinskaja R.I. The brain executive systems. Zhurnal vysshej nervnoj dejatel’nosti im. I.P. Pavlova. 2015; 65(1): 33-60. (In Russ).
12. Talalaj I.V., Machinskaja R.I. The comparative study of cued and implicit anticipatory attention during the performance of visual and auditory versions of the temporal order judgment task. Rossijskij zhurnal kognitivnoj nauki. 2014; 1(4): 58-66.
13. Aftanas L.I., Pavlov S.V., Reva N.V., Varlamov A.A. Event-related synchronization and desynchronization of EEG during appraisal of threatening and pleasant visual stimuli in high anxious subjects. Zhurnal vysshej nervnoj dejatel’nosti im. I.P. Pavlova. 2004; 54 (4): 473-481. (In Russ).
14. 14. Gribanov A.V., Kozhevnikova I.S., Dzhos Ju.S., Nehoroshkova A.N. Brain spontaneous and induced electrical activity at high level of anxiety. Jekologija cheloveka. 2013; 1: 39-47. (In Russ).
15. Aftanas L.I. Jemocional’noe prostranstvo cheloveka: psihofiziologicheskij analiz. 2000. Novosibirsk. Izd-vo Sibirskogo otdelenija RAMN, 126s. (In Russ).
16. Kislova O.O., Rusalova M.N. Perception of emotions in speech. a review of psychological and physiological research. Uspehi fiziologicheskih nauk. 2013; 44(2): 41-61. (In Russ).
17. Meng X., Liu W., Zhang L., Li X., Yao B., Ding X., Yuan J., Yang J. EEG Oscillation Evidences of Enhanced Susceptibility to Emotional Stimuli duringAdolescence. Front Psychol. 2016; 7: 616. doi: 10.3389/fpsyg.2016.00616. eCollection 2016.
18. Reva N.V., Pavlov S.V., Korenek V.V., Loktev K.V., Tumjalis A.V., Brak I.V., Aftanas L.I. The regulation of negative and positive emotions during picture viewing: an ERP study. Rossijskij fiziologicheskij zhurnal im. I.M. Sechenova. 2015; 101(1): 114-122. (In Russ].
19. Bykanova M.A., Pizova N.V. Parkinson’s disease and functional asymmetry. Asimmetrija. 2012; 6 (1): 4-16. (In Russ.).
20. Zhavoronkova L.A. Pravshi-levshi. Mezhpolusharnaja asimmetrija biopotencialovmozgacheloveka.Krasnodar:Jekoinvest,2009-240s.(InRuss).
21. 21. Colombo M.A., Ramautar J.R., Wei Y., Gomez-Herrero G., Stoffers D., Wassing R., Benjamins J.S., Tagliazucchi E., van der Werf Y.D., Cajochen C., Van Someren E.J. Wake high-density electroencephalographic spatiospectral signaturesofinsomnia.Sleep.2016;39(5):1015-1027.doi:10.5665/sleep.5744.
22. Grin-Yatsenko V.A., Baas I., Ponomarev V.A., Kropotov J.D. EEG power spectra at early stages of depressive disorders. J Clin Neurophysiol. 2009; 26(6): 401–406.
23. Moyanova S.G., Dijkhuizen R.M. Present status and future challenges of electroencephalographyand magnetic resonance imaging-based monitoring in preclinical models of focal cerebral ischemia. Brain Res Bull. 2014; 102: 22-36. doi: 10.1016/j.brainresbull.2014.01.003.
Review
For citations:
Tarasova I.V., Trubnikova O.A., Barbarash O.I., Barbarash L.S. PROGNOSTIC ROLE OF EEG INDICATORS FOR CHANGES IN COGNITIVE PERFORMANCE IN PATIENTS IN THE EARLY AND LONG-TERM POSTOPERATIVE PERIODS OF CORONARY ARTERY BYPASS GRAFTING. Complex Issues of Cardiovascular Diseases. 2018;7(1):56-60. https://doi.org/10.17802/2306-1278-2018-7-1-56-60
Views:
499
