Psychopathological and Neurological Dysfunctions Following Open-Heart Surgery

1. Front Matter

   Pages I-XXIII

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2. Incidence and Description of Neurological and Psychiatric Complications Following Cardiac Surgery

   1. Front Matter

      Pages 1-1

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   2. Early and Late Neurological Complications After Prosthetic Heart Valve Replacement

      • V. O. Björk, T. Ivert

      Pages 3-15

   3. Visual Disturbances After Open-Heart Surgery

      • R. Meyendorf

      Pages 16-31

   4. Psychotic Reactions in Patients After Open-Heart Surgery

      • H. H. Scheld, S. Davies-Osterkamp, K. Möhlen, U. Kalbhenn, M. Kramer, F. W. Hehrlein

      Pages 32-38

   5. Incidence of Psychiatric and Neurological Complications After Cardiac Surgery - Retrospective Versus Prospective Studies

      • R. Paech, W. Klinner, R. Meyendorf, B. Reichart, E. Kreuzer

      Pages 39-43

   6. Sociopsychological Factors in Cardiac Surgery

      • D. Mohan, N. Gopinath, S. Gupta

      Pages 44-47

   7. Psychiatric Complications Following Open-Heart Surgery A Prospective Study

      • P. Tienari, J. Outakoski, R. Hirvenoja, A. Juolasmaa, I. Takkunen, R. Kampman

      Pages 48-53

3. Back Matter

   Pages 54-55

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4. Postoperative Neuropsychiatric Syndromes: Identification and Assessment

   1. Front Matter

      Pages 57-57

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   2. The Psychopathology and Cognitive Disorder Syndrome (PCD) in Open-Heart Surgery Patients

      • A. E. Willner, C. J. Rabiner

      Pages 59-67

   3. Brief Psychiatric Inventory for Assessment of Psychopathological Disorders After Open-Heart Surgery

      • B. Dahme, P. Götze, M. Wessel

      Pages 68-76

   4. Hamburg Rating Scale for Psychic Disturbances - HRPD

      • P. Götze

      Pages 77-83

   5. Relationship Between Psychopathological Syndromes Before and After Open-Heart Surgery

      • P. Götze, B. Flemming, G. Huse-Kleinstoll, H.-J. Meffert, Ch. Reimer, H. Speidel

      Pages 84-90

5. Back Matter

   Pages 91-98

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6. Organic Findings in Patients with Postoperative Neuropsychiatric Complications

   1. Front Matter

      Pages 99-99

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   2. The Relative Importance of Psychic and Somatic Risk Factors for Postoperative Dysfunctions After Open-Heart Surgery - Preliminary Results

      • H.-J. Meffert, B. Flemming, P. Götze, G. Huse-Kleinstoll, Ch. Reimer, H. Speidel

      Pages 101-106

   3. Early Psychic Disturbances After Open-Heart Surgery and Their Relationship to the Postoperative Clinical Course

      • G. Huse-Kleinstoll, B. Flemming, P. Götze, H.-J. Meffert, M.-J. Polonius, Ch. Reimer et al.

      Pages 107-118

   4. Computerized Electroencephalogram in Open-Heart Surgery: Prediction of Postoperative Psychical Complications

      • W. Spehr, P. Götze

      Pages 119-124

7. Back Matter

   Pages 125-125

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The Surgeon as a Humanist Medicine is the most humane of the sciences and the most scientific of the humanities. Cardiac surgery today provides a most natural confluence for the high technology of medicine and the humanistic values traditional in the practice of medicine. The cardiac surgeon must, of necessity, be knowledgeable in physiology and cardio­ logy, and must also possess consummate surgical technical skill. The attainment of these skills over long years of training leads many of these surgeons to believe or per­ ceive this long struggle as an apotheosis of their position in life, rather than as an education in bringing the latest scientific advances to the care of patients. The problem lies not only with the cardiac surgeon; it is also contributed to by the patients' perception of heart surgery, heart disease, and the mystery of the science and physiology involved. The patient with heart disease expecting surgery may, for the first time, be facing the finiteness of his existence. The low risk of cardiac surgery to­ day not withstanding, the coronary surgery patients, most likely a type A personality, is faced with a perceived threat to his invulnerability, his self-image, his family, his independence, his control of situations, and his very existence.

• Herzchirurgie
• Psychische Störung
• heart
• perception
• physiology
• postoperative Komplikation
• surgery

• Department of Psychiatry, The Medical College of Wisconsin, Milwaukee, USA

  Jeremy M. Katz

• Abteilung für Herz- und Gefäßchirurgie und experimentelle Kardiologie, Chirurgische Universitätsklinik Eppendorf, Hamburg 20, Germany

  Michael-J. Polonius

• Psychosomatische Abteilung, Universitäts-Krankenhaus Eppendorf, Hamburg 20, Germany

  Hubert Speidel

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