Neurocognitive function in destination therapy patients receiving continuous-flow vs pulsatile-flow left ventricular assist device support

Petrucci, Ralph J.; Rogers, Joseph G.; Blue, Laura; Gallagher, Colleen; Russell, Stuart D.; Dordunoo, Dzifa; Jaski, Brian E.; Chillcott, Suzanne; Sun, Benjamin; Yanssens, T.; Tatooles, Antone; Koundakjian, Lalig; Farrar, David J.; Slaughter, Mark S.

doi:10.1016/j.healun.2011.10.012

Cited by 51 publications

(31 citation statements)

References 27 publications

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“…These studies lacked pre-implantation evaluation. 20,21 Though LVADs are known to improve hemodynamics and cardiac function, improvement in cognitive function directly resulting from mechanical circulatory support has not been quantified.…”

mentioning

confidence: 99%

Cognitive function and left ventricular assist device implantation

Bhat

Yost

Mahoney

2015

The Journal of Heart and Lung Transplantation

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mentioning

confidence: 99%

Cognitive function and left ventricular assist device implantation

Bhat

Yost

Mahoney

2015

The Journal of Heart and Lung Transplantation

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“…In general, the LVAD implant seems to arrest the cognitive decline [230] and, in the space of 24 months, there is an improvement in cognitive functions with respect to patients with advanced heart failure [231][232][233]. Review appears to be associated with a greater percentage of shock experiences and mortality at 5 years after implantation compared to patients who did not develop PTSD [253].…”

Section: Moderate Evidencementioning

confidence: 98%

Best practice in psychological activities in cardiovascular prevention and rehabilitation: Position Paper

Angelino

Porta

Abatello

et al. 2018

Monaldi Arch Chest Dis

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Recent guidelines on cardiovascular disease prevention suggest multimodal behavioral interventions for psychosocial risk factors and referral for psychotherapy in the case of clinically significant symptoms of depression and anxiety overall. Accordingly, psychologists of the Italian Association for Cardiovascular Prevention, Rehabilitation and Epidemiology (GICR-IACPR) have reviewed the key components of psychological activities in cardiovascular prevention and rehabilitation (CPR). The aim of this study was to elaborate a position paper on the best practice in routine psychological activities in CPR based on efficacy, effectiveness and sustainability. The steps followed were: i) a review of the latest international guidelines and position papers; ii) analysis of the evidence-based literature; iii) a qualitative analysis of the psychological services operating in some reference Italian cardiac rehabilitation facilities; iv) classification of the psychological activities in CPR as low or high intensity based on the NICE Guidelines on psychological interventions on anxiety and depression. We confirm the existence of an association between depression, anxiety, social factors, stress, personality and illness onset/outcome and coronary heart disease. Evidence for an association between depression, social factors and disease outcome emerges particularly for chronic heart failure. Some positive psychological variables (e.g., optimism) are associated to illness outcome. Evidence is reported on the impact of psychological activities on 'new' conditions which are now indicated for cardiac rehabilitation: pulmonary hypertension, grown-up congenital heart, end-stage heart failure, implantable cardioverter-defribrillator and mechanical ventricular assist devices, frail and oldest-old patients, and end-of-life care. We also report evidence related to caregivers. The Panel divided evidence-based psychological interventions into: i) low intensity (counseling, psycho-education, self-care, self-management, telemedicine, self-help); or ii) high intensity (individual, couples and/or family and group psychotherapy, such as stress management). The results show that psychotherapy is mainly consisting of cognitive-behavior therapy, interpersonal therapy, and short-term psycho-dynamic therapy. The current data further refine the working tools available for psychological activities in CPR, giving clear directions about the choice of interventions, which should be evidence-based and have at least a minimum standard. This document provides a comprehensive update on new knowledge and new paths for psychologists working in the CPR settings.

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“…In elderly destination therapy patients, dementia can become an issue, and follow-up cognitive assessment and treatment may be needed. 24 If post-MCS cognitive dysfunction increases, patients may be at risk for dementia-related adverse events and poor outcomes, and caregivers may incur significant personal and financial burden (eg, placement of the elderly patient with MCS in a memory care unit). 25 …”

Section: Diabetes Mellitusmentioning

confidence: 99%