Impact of Cardiac Surgery on the Quality of Life

1. Front Matter

   Pages i-xiii

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2. Introduction

   1. Front Matter

      Pages 1-1

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   2. Introduction

      • Georg Rodewald, Allen E. Willner

      Pages 1-5

3. Psychiatric Issues

   1. Front Matter

      Pages 7-7

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   2. Methods — Construction and Clinical Application of the Hamburg Rating Scale for Psychic Disturbances (HRPD)

      • Paul Gotze, Bernhard Dahme, Ulrich Lamparter, Sabine Falck

      Pages 9-18

   3. Psychiatric Methods of the International Study: Hamilton Depression and Anxiety Scales

      • Bernhard Strauss, Gunnar Paulsen

      Pages 19-26

   4. Psychiatric Issues: Simple Frequencies Pre- and Postoperatively

      • H. Speidel

      Pages 27-37

   5. Fantasies Evoked by Cardiac Surgery

      • Richard S. Blacher

      Pages 39-43

   6. The Evaluation of the Emotional Climate in the Families of Cardiac Surgery Patients

      • G. Invernizzi, R. Basile, A. Passerini, N. Calchi Novati, C. Bressi, A. Repossini et al.

      Pages 45-48

   7. Psychologic Sequelae of Cardiac Valve Implantation

      • James G. Peden Jr.

      Pages 49-52

   8. What Do Patients with Incomplete Postoperative Data Tell Us? The Problem of Fatal Outcome and Refusing Postoperative Testing: Psychiatric Aspects

      • Gunnar Paulsen

      Pages 53-59

   9. Psychological Adaptation of Patients 3 to 5 Years After Heart Surgery

      • A. Boll, B. Dahme, H. J. Meffert, H. Speidel

      Pages 61-72

   10. An Interpretive Study of the Metaphors Male Coronary Artery Surgery Patients Use to Describe the Surgical Experience

       • Mary H. Hawthorne

       Pages 73-81

   11. Good Psychosocial Adaptation to Implantable Cardioverter Defibrillators

       • Colette Pycha, Joseph R. Calabrese

       Pages 83-88

   12. Denial Among Cardiac Patients with the Automatic Implantable Cardioverter Defibrillator

       • Efrain A. Gonzalez, Deborah K. Cooper

       Pages 89-93

4. Neurological Issues

   1. Front Matter

      Pages 95-95

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   2. The Susceptibility of the Central Nervous System to Open Heart Surgery

      • Thomas Emskoetter, Lutz Lachenmayer

      Pages 97-104

   3. Neurological Assessment of Early Cerebral Outcome after Coronary Bypass Surgery

      • Hans Strenge

      Pages 105-109

   4. Automatic EEG Monitoring in Cardiac Surgery

      • E. H. J. F. Boezeman, A. J. R. Simons, J. A. Leusink

      Pages 111-120

   5. Magnetic Resonance Imaging of the Brain in Infants and Children Before and After Cardiac Surgery; A Prospective Study

      • James R. McConnell, William H. Fleming, Lynne B. Sarafian

      Pages 121-128

Georg Rodewald University of Hamburg Hamburg, Federal Republic of Germany Allen E. Willner Hillside Hospital Glen Oaks, NY In contrast to the initial years of cardiac surgery (37 years ago), there is now increasing interest in cerebral protection. Rodewald [1] in 1978 was among the first to point out the surgeon's concern with "psychopathological problems" and Taylor [2] in 1989 stressed that" ••• the awareness of the cerebral consequences of open heart surgery has risen considerably in recent years • • • " This book reviews the evidence for neurological, psychological, and neuropsycho­ logical reactions to cardiac surgery. In previous studies one problem is that small samples of patients were studied with different measuring instruments so that it was difficult to ma~e sense of inconsistent findings. Considerable controversy resulted with little ability to sort out discrepant findings. It appeared that a large multi­ center study using uniform measures might help clarify the picture.

• Depression
• Emotion
• Intervention
• Nervous System
• Rehabilitation
• Surgery
• coronary artery bypass surgery
• psychological intervention

• Long Island Jewish Medical Center, Hillside Hospital, Glen Oaks, USA

  Allen E. Willner

• University Hospital Hamburg-Eppendorf, Germany

  Georg Rodewald

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