The role of quantitative electroencephalography in the diagnosis of postoperative cerebral consequences in patients with cardiovascular pathology who underwent cardiac surgery using artificial circulation. Importance for oncology (literature review)

E. I. Kuznetsova, D. D. Tsyrenov
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Abstract

Currently, special attention of researchers is attracted to the problem of diagnosing postoperative brain damage and cognitive impairment in patients with cardiovascular pathology after cardiac surgery without/under conditions of artificial circulation (AC). The main method of assessing the functional state of the brain is quantitative electroencephalography (EEG). Because of cardiovascular and oncological pathology could persist in one patient it is actual simultaneous cardial and oncological surgery under EEG monitoring.Objective: based on the literature data, to find out the role of EEG in diagnosis of cerebral complications in patients with cardiovascular pathology after cardiac surgery without /under conditions of AC.Methods. We found and analyzed data in specialized medical data base Pubmed, Scopus, Web of Science about EEG methods in patients after heart bypass with/without AC from 1980 to 2023 years.Results. The quantitative EEG is very important for early diagnosis and prognosis for cerebral ischemia, epileptiform activity, postoperative cognitive dysfunction in patients with coronary heart disease (CHD) after coronary artery bypass with/without AC. However, the studies did not included patients with oncopathology, people over 70 years of age. It opens possibilities for early diagnosis of central nervous system functional condition in patients with lung cancer and cardiovascular disorders in simultaneous (concomitant heart and lung with/without AC) surgery. It will help a correction of complications in time and a development of guided rehabilitation
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定量脑电图在诊断使用人工循环进行心脏手术的心血管病患者术后脑后果中的作用。对肿瘤学的重要性(文献综述)
目前,研究人员特别关注在无人工循环(AC)条件下诊断心血管病变患者术后脑损伤和认知障碍的问题。评估大脑功能状态的主要方法是定量脑电图(EEG)。目的:根据文献资料,找出脑电图在无/有人工循环条件下心脏手术后心血管病变患者脑并发症诊断中的作用。我们在专业医学数据库Pubmed、Scopus、Web of Science中查找并分析了1980年至2023年间有/无AC心脏搭桥术后患者的脑电图方法。定量脑电图对于冠状动脉搭桥术(有/无 AC)后冠心病(CHD)患者脑缺血、癫痫样活动、术后认知功能障碍的早期诊断和预后非常重要。然而,这些研究并不包括肿瘤患者和 70 岁以上的老人。该研究为早期诊断肺癌和心血管疾病患者的中枢神经系统功能状况提供了可能性。这将有助于及时纠正并发症和开展有指导的康复治疗。
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