Russian Psychological Issues
JournalsTopicsAuthorsEditor's Choice For AuthorsAbout PsyJournals.ruContact Us

  Previous issue (2020. Vol. 13, no. 1)

Included in Web of Science СС (ESCI)


Experimental Psychology (Russia)

Publisher: Moscow State University of Psychology and Education

ISSN (printed version): 2072-7593

ISSN (online): 2311-7036


License: CC BY-NC 4.0

Started in 2008

Published quarterly

Free of fees
Open Access Journal


Comparative analysis of clinical and psychosocial characteristics of patients with different dynamics of cognitive functioning after coronary artery bypass grafting 126

Psychological aspects as compared to the technological part of direct myocardial revascularization and its consequences for cognitive functioning, which in turn affect the compliance and quality of life of patients, have not been enough studied yet. In this regard, the purpose of the study was to analyze the clinical and psychosocial characteristics of patients with coronary heart disease (CHD) with different dynamics of cognitive functions in the process of rehabilitation after coronary artery bypass grafting (CABG). A new method for the mathematical determination of cognitive dynamics, namely, the assessment of the improvement and deterioration of cognitive functioning after open-heart surgery was proposed. A total of 118 patients with coronary artery disease were examined. Among them there were 80.5% of men and 19.5% of women; mean age 59.86 ± 7.31 years. The study was conducted using the clinical-psychological method and the developed complex of patho- and neuropsychological methods for assessing various spheres of cognitive functioning. It was shown that patients with worse cognitive dynamics after CABG at the preoperative stage tend to have more frequent atherosclerosis of the brachiocephalic arteries, a complication of the early postoperative period in the form of postpericardiotomy syndrome, as well as burdened heredity of cardiovascular diseases. At the same time, a shorter aortic clamping time and the duration of use of cardiopulmonary bypass was recorded during the surgery in patients with cognitive impairment. A comparative analysis of the psychosocial characteristics of patients indicates significant differences in understanding the causes of the development of the underlying cardiovascular disease and the consequences of CABG in patients of both groups studied: patients with impaired cognitive functioning have a lower treatment adherence (compliance), and they tend to evaluate the upcoming operation as a negative life event.

Keywords: cognitive functioning, coronary artery bypass surgery, coronary heart disease, psychosocial characteristics, clinical characteristics, cognitive reserve

Column: Health psychology


For Reference


This work was supported by the RFBR grant No. 18-013-00689.

  1. Blejher V.M. Klinicheskaja patopsihologija: Rukovodstvo dlja vrachej i klinicheskih psihologov [Clinical pathopsychology: Guide for physicians and clinical psychologists]. V.M. Blejher, I.V. Kruk, S.N. Bokov. Moscow: Mosk. psihol.-soc. in-t; Voronezh: MODJeK, 2006. 624 p.
  2. Bokerija L.A. Cerebrovaskuljarnye rasstrojstva u bol’nyh s koronarnym shuntirovaniem [Cerebrovascular disorders in patients with coronary bypass] / L.A. Bokerija, P.R. Kamchatnov, I. V. Kljuchnikov i dr. Zhurnal nevrologii i psihiatrii im. S. S. Korsakova [Journal of Neurology and Psychiatry]. 2008. № 3. P. 90—94.
  3. Buziashvili Ju.I. Vlijanie iskusstvennogo krovoobrashhenija na sostojanie kognitivnyh funkcij u bol’nyh s ishemicheskoj bolezn’ju serdca [Influence of cardiopulmonary bypass on the state of cognitive function in patients with coronary heart disease] / Ju.I. Buziashvili, S.G. Ambat’ello, Ju.A. Aleksahina, M.V. Pashenkov. Zhurnal nevrologii ii psihiatrii im. S. S. Korsakova [Journal of Neurology and Psychiatry]. 2005. № 1. P. 30—35.
  4. Dement’eva I.I. Vlijanie vida kardiohirurgicheskoj operacii i uslovij iskusstvennogo krovoobrashhenija na perioperacionnuju dinamiku serdechnyh biomarkerov [Influence of the type of cardiosurgical operation and conditions of artificial circulation on perioperative dynamics of cardiac biomarkers] / I.I. Dement’eva, Ju.A. Morozov, M.A. Charnaja. Hirurgija [Surgery]. 2013. № 2. P. 59—62.
  5. Derevnina E.S. Kognitivnye narushenija pri fibrilljacii predserdij na fone serdechno-sosudistyh zabolevanij [Cognitive impairment in atrial fibrillation on a background of cardiovascular disease] / E.S. Derevnina, N.S. Akimova, T.V. Martynovich i dr. Annaly aritmologii [Annals arrhythmology]. 2013. T. 10, № 2. P. 87—94.
  6. Zueva I.B. Vzaimosvjaz’ faktorov serdechno-sosudistogo riska s kognitivnymi funkcijami u pacientov srednego vozrasta [Correlation factors of cardiovascular risk with cognitive function in middle-aged patients] / I.B. Zueva, K.I. Vanaeva, E.L. Sanec i dr. Arterial’naja gipertenzija [Arterial hypertension]. 2011. T. 17, № 5. P. 432—441.
  7. Rahimova N.A. Kognitivnye narushenija i nejroprotekcija pri kardiohirurgicheskih operacijah v uslovijah iskusstvennogo krovoobrashhenija [Cognitive impairment and neuroprotection in cardiosurgical operations in conditions of artificial circulation]: avtoref. dis. ... kand. med. nauk: 14.01.11; 14.01.26 / Rahimova Nargiza Askar kizi; GU NII nevrologii RAMN, NC serdechno-sosudistoj hirurgii im. A.N. Bakuleva RAMN. M., 2010. 28 p.
  8. Trubnikova O.A. Nejrodinamicheskie pokazateli u pacientov s ishemicheskoj bolezn’ju serdca do i posle operacii koronarnogo shuntirovanija [Neurodynamic parameters in patients with ischemic heart disease before and after coronary artery bypass surgery] / O.A. Trubnikova, I.V. Tarasova, A.I. Artamonova i dr. Kardiologija i serdechno-sosudistaja hirurgija [Cardiology and cardiovascular surgery]. 2011. № 1. P. 10— 13.
  9. Trubnikova O.A. Nejropsihologicheskij status pacientov s malymi i umerennymi stenozami sonnyh arterij, perenesshih koronarnoe shuntirovanie [Neuropsychological status of patients with low and moderate carotid stenosis who underwent coronary artery bypass grafting] / O.A. Trubnikova, I.V. Tarasova, I.D. Syrova i dr. Zhurnal nevrologii i psihiatrii im. S.S. Korsakova [Journal of Neurology and Psychiatry]. 2013. № 3. P. 28—33.
  10. Fonjakin A.V. Serdechno-sosudistye zabolevanija i narushenie kognitivnyh funkcij. Profilaktika i lechenie [Cardiovascular diseases and cognitive impairment. Prevention and treatment] / A.V. Fonjakin, L.A. Geraskina, A.R. Magomedova, A.S. Atajan. Russkij medicinskij zhurnal [Russian Medical Journal]. 2011. T. 19, № 9 (403). P. 538—544.
  11. Shahparonova N.V. Nejrometabolicheskaja terapija bol’nyh s zabolevanijami nervnoj sistemy. Vozmozhnosti primenenija Aktovegina [Neurometabolic therapy of patients with diseases of the nervous system. Possibilities of using Actovegin] / N.V. Shahparonova, A.S. Kadykov. Russkij medicinskij zhurnal [Russian Medical Journal]. 2008. № 26. P. 1722—1725.
  12. Shljahto E.V. Vlijanie terapii blokatorami receptorov k angiotenzinu II na razvitie kognitivnyh rasstrojstv u bol’nyh arterial’noj gipertenziej: rezul’taty issledovanija OSCAR [Effect of therapy with angiotensin II receptor blockers on the development of cognitive disorders in patients with arterial hypertension: the results of the OSCAR study] / E.V. Shljahto, I.B. Zueva. Arterial’naja gipertenzija [Arterial hypertension]. 2010. T. 16, № 2. P. 219—222.
  13. Shnajder N.A. Posleoperacionnaja kognitivnaja disfunkcija [Postoperative cognitive dysfunction] / N.A. Shnajder. Nevrologicheskij zhurnal [Journal of Neurology]. 2005. № 10. P. 37—43.
  14. Shumkov K.V. Aortokoronarnoe shuntirovanie v uslovijah iskusstvennogo krovoobrashhenija i na rabotajushhem serdce: sravnitel’nyj analiz blizhajshih i otdalennyh rezul’tatov i posleoperacionnyh oslozhnenij (narushenija ritma serdca, kognitivnye i nevrologicheskie rasstrojstva, reologicheskie osobennosti i sostojanie sistemy gemostaza) [Coronary artery bypass grafting with cardiopulmonary bypass on a beating heart: a comparative analysis of the immediate and long-term results and postoperative complications (heart rhythm disturbances, cognitive and neurological disorders, rheological characteristics and condition of the hemostatic system)] / K.V. Shumkov, N.P. Lefterova, N.L. Pak i dr. Kreativnaja kardiologija [Creative cardiology]. 2009. № 1. P. 28—50.
  15. Shhelkova O.Ju., Eremina D.A. Psihosocial’nye i klinicheskie faktory kognitivnogo funkcionirovanija bol’nyh ishemicheskoj bolezn’ju serdca posle koronarnogo shuntirovanija [Psychosocial and clinical factors of cognitive functioning of patients with ischemic heart disease after coronary artery bypass grafting]. Jeksperimental’naja psihologija [Experimental Psychology]. 2015. T. 8. No 3. P. 156—172.
  16. Bergh C. In the eye of both patient and spouse: memory is poor 1 to 2 years after coronary bypass and angioplasty / C. Bergh, M. Bäckström, H. Jönsson et al. // Ann. Thorac. Surg. 2002. Vol. 74. P. 689—694.
  17. Bokeriia L.A. Neural correlates of postoperative cognitive dysfunction in cardiac surgery / L.A. Bokeriia, E.Z. Golukhova, A.G. Polunina et al. // Brain Research Rev. 2005. Vol. 50 (2). P. 266—274.
  18. Dan’ko R.E. Efficiency of visual perception in healthy observers and in patients with neuroses / R.E. Dan’ko, A.V. Kuznetsov, S.V. Litvintsev, Yu.K. Malakhov// J. Opt. Technol. 1999. Vol. 66 (10). P. 896—898.
  19. Eremina D.A., Shchelkova O.Yu. (2017). The dynamics of the cognitive functioning and emotional state of cardiac patients during rehabilitation after coronary revascularization. Psychology in Russia: State of the Art, 10(2), 201—214.
  20. Guo Y. Predictors of atrial fibrillation after coronary artery bypass graft surgery / Y. Guo, S. Hu, Q. Wu et al. // Chin. Med. J. 2002. Vol. 115 (2). P. 232—234.
  21. Hudetz J.A. Postoperative delirium is associated with postoperative cognitive dysfunction at one week after cardiac surgery with cardiopulmonary bypass / J.A. Hudetz, K.M. Patterson, A.J. Byrne et al. // Psychol. Rep. 2009. Vol. 105. P. 921—932.
  22. Jensen B. Cognitive outcomes in elderly high-risk patients 1 year after off-pump versus on-pump coronary artery bypass grafting. A randomized trial / B. Jensen, L.S. Rasmussen, D.A. Steinbruchel // Eur.J. Cardiothorac. Surg. 2008. Vol. 34 (5). P. 1016—1021.
  23. Jones E.L. Importance of complete revascularization in performance of the coronary bypass operation / E.L. Jones, J.M. Craver, R.A. Guyton et al. // Am. J. Cardiol. 1983. Vol. 51. P. 7—12.
  24. Marasco S.F. No improvement in neurocognitive outcomes after off-pump versus on-pump coronary revascularisation: a meta-analysis / S.F. Marasco, L.N. Sharwood, M.J. Abramson // Eur.J. Cardiothorac. Surg. 2008. Vol. 33. P. 961—970.
  25. Mathew J.P. Lower endotoxin immunity predicts increased cognitive dysfunction in elderly patients after cardiac surgery / J.P. Mathew, H.P. Grocott, B. Phillips-Bute et al. // Stroke. 2003. Vol. 34. P. 508— 513.
  26. McKhann G.M. Is there cognitive decline 1 year after CABG? Comparison with surgical and nonsurgical controls / G.M. McKhann, M.A. Grega, L.M. Borowicz Jr. et. al. // Neurology. 2005. Vol. 65 (7). P. 991— 999.
  27. Murkin J.M. Statement of consensus on assessment of neurobehavioral outcomes after cardiac surgery / J.M. Murkin, S.P. Newman, D.A. Stump, J.A. Blumenthal // Ann. Thorac. Surg. 1995. Vol. 59. P. 1289— 1295.
  28. Nooyens A.C. Type 2 diabetes and cognitive decline in middle-aged men and women / A.C. Nooyens, C. A. Baan, A M. Spijkerman, W.M. Verschuren // Diabetes Care. 2010. Vol. 33 (9). P. 1964—1969.
  29. Reitan R.M. Validity of the trail making test as an indicator of organic brain damage / R.M. Reitan // Percep. Motor Skills. 1958. Vol. 8. P. 271—276.
  30. Roques F. Risk factors and outcome in European cardiac surgery: analysis of the EuroSCORE multinational database of 19030 patients / F. Roques, S.A. Nashef, P. Michel et al. // Eur. J. Cardiothorac. Surg. 1999. Vol. 15 (6). P. 816—822.
  31. Schaff H.V. Survival and functional status after coronary artery bypass grafting: Results 10 to 12 years after surgery in 500 patients / H.V. Schaff, B.J. Gersh, J.R. Pluth, et al. // Circulation. 1983. Vol. 68 (suppl. 2). II-200—II-204.
  32. Sotaniemi K.A. Long-term cerebral outcome after open-heart surgery: a five-year neuropsychological follow-up study / K.A. Sotaniemi, H. Monomem, T.E. Hokkanen // Stroke. 1986. Vol. 17 (3). P. 410—416.
  33. Sweet J.J. Absence of cognitive decline one year after coronary bypass surgery: comparison to nonsurgical and healthy controls / J.J. Sweet, E. Finnin, P.L. Wolfe et al. // Ann. Thorac. Surg. 2008. Vol. 85. P. 1571— 1578.
  34. Van den Goor J. Improvement of cognitive test performance in patients undergoing primary CABG and other CPB-assisted cardiac procedures / J. Van den Goor, B. Saxby, J. Tijssen et al. // Perfusion. 2008. Vol. 23. P. 267—273.
  35. Van Dijk, D. Neurocognitive dysfunctions following coronary artery bypass surgery: a systematic review / D. Van Dijk, A.M.A. Keizer, J.C. Diephuis et al. // J. Thorac. Cardiovasc. Surg. 2000. Vol. 120. P. 632—639.
  36. Yaffe K. Predictors of maintaining cognitive function in older adults: the Health ABC study / K. Yaffe, A.J. Fiocco, K. Lindquist et al. // Neurology. 2009. Vol. 72 (23). Р. 2029—2035.

© 2007–2020 Portal of Russian Psychological Publications. All rights reserved in Russian

Publisher: Moscow State University of Psychology and Education

Catalogue of academic journals in psychology & education MSUPE

Creative Commons License Open Access Repository

RSS Psyjournals at facebook Psyjournals at Twitter Psyjournals at Youtube ??????.???????