Thursday, June 16, 2022
HomeHealthShould Patients With Early Dementia Have Open Heart Surgery

Should Patients With Early Dementia Have Open Heart Surgery

Who Is In Theater For Open Heart Surgery

Pumphead After Open Heart Surgery: What Should Patients Know?

A team of doctors and other health professionals work together in the operating theater during open heart surgery.

The team is likely to include:

  • the lead surgeon who will direct others surgeons who will assist during the operation
  • the anesthesiologist, who is in charge of giving and anesthesia and monitoring vital signs
  • the pump team, also known as perfusionists, operate the heart-lung machine and other technical equipment that supports open heart surgery
  • nurses and technicians, who assist the surgical team and prepare the operating theater for surgery

Living With Vascular Dementia

Vascular dementia is a progressive disease that has no cure, but the rate at which the disease progresses can vary. Some people with vascular dementia may eventually need a high level of care due to the loss of mental and physical abilities. Family members may be able to care for a person with vascular dementia early on. But if the disease progresses, the person may need more specialized care.

Respite programs, adult daycare programs, and other resources can help the caregiver get some time away from the demands of caring for a loved one with vascular dementia.

Long-term care facilities that specialize in the care of people with dementias, Alzheimer’s, and other related conditions are often available if a person affected by vascular dementia can no longer be cared for at home. Your healthcare provider can recommend caregiver resources.

Could Covid Delirium Bring On Dementia

Illustration by Fatinha Ramos

In her job as a physician at the Boston Medical Center in Massachusetts, Sondra Crosby treated some of the first people in her region to get COVID-19. So when she began feeling sick in April, Crosby wasnt surprised to learn that she, too, had been infected. At first, her symptoms felt like those of a bad cold, but by the next day, she was too sick to get out of bed. She struggled to eat and depended on her husband to bring her sports drinks and fever-reducing medicine. Then she lost track of time completely.

For five days, Crosby lay in a confused haze, unable to remember the simplest things, such as how to turn on her phone or what her address was. She began hallucinating, seeing lizards on her walls and smelling a repugnant reptilian odour. Only later did Crosby realize that she had had delirium, the formal medical term for her abrupt, severe disorientation.

I didnt really start processing it until later when I started to come out of it, she says. I didnt have the presence of mind to think that I was anything more than just sick and dehydrated.

Delirium is so common in COVID-19 that some researchers have proposed making the condition one of the diseases diagnostic criteria. The pandemic has sparked physicians interest in the condition, says Sharon Inouye, a geriatrician at the Marcus Institute for Aging and Harvard Medical School in Boston, who has studied delirium for more than 30 years.

Also Check: Neurotransmitters Involved In Alzheimer’s Disease

Why Getting Cold Can Be Dangerous

Cold has a powerful effect on the human body.

The shock of entering cold water causes a dramatic rise in heart rate and blood pressure, which can cause heart attacks and strokes in those with underlying illnesses.

It also prompts a gasp reflex and rapid breathing, which can lead to drowning if water is inhaled.

The longer someone spends in the water, the slower their responses. People can become confused and clumsy, and find it hard to get out of the water.

Dr Heather Massey of Portsmouth University’s Extreme Environments Laboratory, says there are some key things to remember.

  • Before taking a dip in cold water, make sure you are fit and healthy. If in any doubt, check with your GP
  • Swim with others who are accustomed to cold water and know local hazards
  • Get out if you start to feel cold
  • Find shelter, remove wet clothing and replace it with as many layers of warm, dry clothing as you can, including a woolly hat and gloves
  • Keep moving around, do light exercise if you can, and don’t worry about shivering – it will help get you warm

But Dr Massey says don’t take a hot bath or shower.

Changes in your blood pressure as you are re-warming, can cause you to faint and risk traumatic injury.

Chronological Age Vs Physiological Age

New heart procedure reduces patient recovery time ...

If you are technically elderly, not acting your age may be a great thing. When we talk about age, the mind and body are often not in synch. Surely you know that young person who acts old or that older person who seems to have more energy than people decades younger.

Chronological age is a simple fact. You are __ years old. Physiological age is how old your body is based on wear and tear, and this is far more difficult to calculate. Cars are an excellent example of chronological age versus physiological age. Your car is 2 years oldthats good, right? But the physiologic age of your car? That depends on whether it has 10,000 miles on it or 200,000 miles, and how many accidents it has been in, and whether your car smells like your dog, whether or not you changed the oil according to the manufacturers recommendation, and how the tread on your tires looks.

As a person contemplating surgery, the younger the physiological and chronological age, the better. This is because, all things remaining equal, it is safer to have surgery when you are 50 than when you are 90. A teenager is more likely to be healthy than someone middle-aged.

To illustrate the difference between chronological age and physiological age, imagine identical twin sisters who are 85 years old:

Don’t Miss: Which Neurotransmitter Is Associated With Alzheimer’s

Being Patient: Around The Time That She Received Her Diagnosis You Also Received A Heart

Copeland-Parker: Being a pilot, you get a routine physical every six months. My doctor at that point mentioned to me that I had a heart murmur. Some can be pretty much benign but mine was the case that the aortic valve was not closing all the way and blood was regurgitating.

We monitored that for two years and then we decided to go ahead and have open heart surgery. I had that around the same time as her diagnosis, and I had my aortic valve replaced with the artificial valve. That led me to , Maybe itll be a good idea for me to go ahead and retire. Ill be able to help take care of her and we could continue doing our races. As a matter of fact, I did a marathon in Berlin three months after I had an open heart surgery.

Heart Valve Replacement Surgery Recovery Depends On Your Way To Deal With Symptoms

If you deal with some discomfort feelings, such as swelling, pain, fatigue because of prescribed medicines or surgical procedure, you should discuss about it with your doctor. Along with this, if you experience any symptom related to depression, you should consult with the doctor for its treatment to keep yourself healthy.

Some heart valve replacement surgery patients deal with depression as a natural outcome of recovery from invasive heart valve surgery. This is a traumatic situation and is enough to make ones physical experience weak. Other individuals face depression because they feel inactive or isolated during the recovery process. Positively, such sensations and feelings are of normal reactions and constitute the part of both emotional and physical healing procedures. Hence, they go off with time.

Read Also: Is Reading Good For Dementia

What To Expect From The Surgery

Before the surgery, your loved one will have a medical exam and some tests. The doctor will rate their physical status. If the results are OK, theyâll sign a consent form and get a surgical clearance. You may sign the consent form for them if youâre designated to make medical decisions.

Your loved one will be told to not eat or drink anything after midnight on the night before the operation so theyâll be less likely to vomit during or after it.

In the pre-op area, theyâll change out of their clothes into a gown. Theyâll be asked to confirm who they are and why theyâre there. You may need to do this for them. Then a nurse will record their vital signs. Theyâll also place an IV line and give your loved one pre-op medications. Youâll want to stay with your loved one during this entire process, and you may need to remind them several times why theyâre there and whatâs happening.

In the operating room, your loved one will get anesthesia so they donât feel pain during the operation. After the surgery, staff will move them to the post-op care unit and watch them closely. When they feel your loved one has recovered from the anesthesia, theyâll move them to a surgical ward elsewhere in the hospital or send them home.

During the post-op period, hospital staff will check the surgery site for signs of infection. The doctors will also want to judge your loved oneâs general function and the results of the surgery.

Preparing For Recovery After Surgery

TWO YEAR OLD WITH DOWN SYNDROME HAS OPEN HEART SURGERY

Older patients are much more likely to require rehabilitation including physical therapy, or even a stay in a rehabilitation facility, than the average surgery patient. They are at higher risk of sleep disturbance due to medications, pain and a change in environment, which in turn can contribute to delirium, a type of confusion after surgery.

In general, the older patient will have a longer recovery time than a younger patient and is expected to have more complications. In short, the elderly surgery patient will require more support than a younger one, from both professional healthcare providers and other individuals in their family and social circles. Enlisting the help of friends and family prior to surgery will help make sure that the patients needs are met after the procedure.

When preparing for surgery, the older patient may also want to consider the arrangements that will be necessary after surgery. For example, if the surgeon indicates a stay at a rehabilitation facility will be necessary, the patient can choose the facility they prefer prior to surgery, and even visit if they choose.

Also Check: What Is The Difference Between Dementia And Senility

Reducing Cognitive Impairment After Surgery

Older patients with neurodegenerative disease quite often need surgery for reasons unrelated to their cognitive problems. Both the hospital and surgical environments can be challenging for patients, but with some planning, these difficulties can be minimized. The suggestions that follow are not all inclusive, and we suggest discussing suggestions your physician/s may have prior to any surgical procedure.

For Multiple Heart Blockages Bypass Surgery Or Stents

As you may have read earlier in this thread, the lifespan of the grafts typically after the initial problems from the surgery can be 5 – 25 years! My surgeon indicated that the people who didn’t make lifestyle changes had a shorter lifespan for the grafts. Depending on your father’s health, it’s very possible to repair the grafts at least once. 5b – the narrowed coronary arteries can’t be widen by stents so he/she has to do open heart surgery to replace them 5c – the patient can’t stand stents or CABG so he/she will go on medical treatment life long . N.B. : any procedure of the above depends on how the heart performs its job , and it is defined by Echocardiography Recovery from surgery takes time, and you may not see the full benefits of your surgery for 3 to 6 months. In most people who have heart bypass surgery, the grafts remain open and work well for many years. This surgery does not prevent a blockage from coming back. However, you can take steps to slow it down. Things you can do include: Do not smoke I’m in my early 60s and I had a double bypass operation ~16 months ago. I have very mild chest pain on occasion, when exercising. I spend ~45 to 60 minutes, 3 to 5 times on aerobic exercise, plus ~45 to 60 minutes twice a week lifting weights, including free weights and on several types of weight equipment

Also Check: What Is The Difference Between Dementia And Senility

Could Cold Slow Dementia

The Cambridge work on winter swimmers has been shared in online lectures but has not yet been published in a scientific journal.

A number of other researchers have found similarly higher levels of RBM3 in babies and heart and stroke patients who have been made hypothermic.

What these findings show, says Prof Mallucci, is that – just like hibernating mammals – human beings produce the “cold-shock” protein.

But the risks associated with getting cold outweigh any potential benefits, so cold water immersion is certainly not a potential dementia treatment, she says.

The challenge now, she says, is to find a drug that stimulates the production of the protein in humans and – more important still – to prove it really does help delay dementia.

Dementia is predominantly a disease of the old, so even a relatively short delay in the onset of illness could have huge benefits for individuals, and the wider population.

Prof Mallucci says: “If you slowed the progress of dementia by even a couple of years on a whole population, that would have an enormous impact economically and health-wise.”

Do Anesthesia Risks Increase In Older Adults

Up Close: Open heart surgery

One concern for older patients is that the aging brain is more vulnerable to anesthesia, medication that prevents you from feeling pain during surgery often by sedating you or making you lose consciousness. Here are two anesthesia-related surgery risks that are more common in older people:

  • Postoperative delirium â This is a temporary condition that causes the patient to be confused, disoriented, and unaware of surroundings, and have problems with memory and paying attention. It may not start until a few days after surgery, may come and go, and usually disappears after about a week.
  • Postoperative cognitive dysfunction â This is a more serious condition that can lead to long-term memory loss and make it difficult to learn, concentrate, and think. Because some of these problems are already common in elderly people, the only way to determine if a patient actually has POCD is to conduct a mental test before surgery. Certain conditions, including heart disease , lung disease, Alzheimerâs disease, Parkinsonâs disease, and having had a stroke in the past, increase your risk for POCD. Researchers in anesthesia care continue to study and learn more about these conditions and how to prevent or reduce the effects.

You May Like: 7th Stage Of Dementia

Things You Should Know About Open Heart Surgery

Last year I had to have open heart surgery to repair a heart valve. You are not permitted to wear a wig/ hairpiece into the or I have to say this worried me more than the actual surgery! I wore a headband the whole time, but asked my husband to bring my topper when I was released – I didn’t want our neighbors to see me without it when we. Death from heart surgery is rare. With advancement in technology and availability of increased noninvasive methods, the mortality rate is nearly 0%. However, one can die from the surgery due to unforeseen complications during the operation and post-operation. Taking precautions and following the instructions will prevent death after the heart surgery

Cardiac Surgery In Patients With Liver Cirrhosis

Date:
John Wiley & Sons, Inc.
Summary:
A new study on the outcome of cardiac surgery in patients with liver cirrhosis found that the surgery can safely be performed in patients with milder disease, while those with more severe cirrhosis are less likely to survive.

A new study on the outcome of cardiac surgery in patients with liver cirrhosis found that the surgery can safely be performed in patients with milder disease, while those with more severe cirrhosis are less likely to survive.

The results of this study appear in the July 2007 issue of Liver Transplantation, the official journal of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society , published on behalf of the societies by John Wiley & Sons, Inc.

In abdominal surgery, it is well known that the severity of liver cirrhosis, as measured by the Child-Pugh classification correlates directly with surgical outcome. However, few studies have reported how these patients fare when undergoing cardiac surgery.

Led by Farzan Filsoufi, of Mt. Sinai Hospital in New York, NY, researchers conducted a retrospective study of patients who underwent cardiac surgery at Mt. Sinai Medical Center between January 1998 and December 2004, and identified 27 patients who had cirrhosis. Of these, 18 patients had cardiac surgery with cardiopulmonary bypass while the other 9 had surgery without using the heart-lung machine.

Articles:

Story Source:

Read Also: Bob Knight Dementia

How Is Vascular Dementia Treated

Vascular dementia can’t be cured. The main goal is to treat the underlying conditions that affect the blood flow to the brain. This can help cut the risk of further damage to brain tissue.

Such treatments may include:

  • Medicines to manage blood pressure, cholesterol, triglycerides, diabetes, and problems with blood clotting
  • Lifestyle changes, such as following a healthy diet, getting physical activity, quitting smoking, and quitting or decreasing alcohol consumption
  • Procedures to improve blood flow to the brain, such as carotid endarterectomy, angioplasty, and stenting the carotid arteries are located in the neck and provide blood flow from the heart to the brain
  • Medicines, such as cholinesterase inhibitors to treat the symptoms of dementia or antidepressants to help with depression or other symptoms

Solution To Having Dementia And Being Denied Heart Bypass Surgery

Caring for Your Incision after Cardiac Surgery

The best solution is to begin taking care of your heart TODAY so that you never need CABG. You know the drill:

Dont smoke.

Dont drink or limit alcohol to four ounces/day for women and eight ounces/day for men.

Avoid trans fats.

Eat plenty of good fats found in olive oil, nuts, seeds and fish.

Eat only grass fed beef or wild game.

Limit processed foods.

Eat at least five to seven servings/day of any combination of fruits and fresh vegetables.

Consume no more than 2,000 mg/day of sodium.

Maintain a healthy weight.

Exercise, exercise and do more exercise.

Get yearly cardiology exams. You do not have to be 50 to get these.

As for dementia prevention, adhering to the above heart-health guidelines will strongly contribute to that.

What damages the heart also usually damages the brain.

Dr. Fiocco specializes in treating artery disease, valvular disease and aortic aneurysm. His heart care expertise has earned him recognition by Baltimore Magazine as a Top Doctor in 2010, 2011, 2013, 2016 and 2017.
Lorra Garrick is a former personal trainer certified by the American Council on Exercise. At Bally Total Fitness she trained clients of all ages for fat loss, muscle building, fitness and improved health.

Read Also: Does Meredith Grey Have Alzheimer’s

RELATED ARTICLES

Most Popular