A RISK OF POST-OPERATIVE DELIRIUM IN TRANSCATHETER AORTIC VALVE IMPLANTATION: A REVIEW OF DIAGNOSIS AND TREATMENT STRATEGIES
| Main Author: | Hassan Javed, Ali Shahbaz and Sharoon Aqil |
|---|---|
| Format: | Article |
| Bahasa: | eng |
| Terbitan: |
, 2018
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| Subjects: | |
| Online Access: |
https://zenodo.org/record/1470061 |
Daftar Isi:
- This study proposed to use the Mini-Cog as a screening tool to identify patients with cognitive impairment or dementia before transcatheter Aortic Valve Implantation with the hypothesis that patients screening positive on the Mini-Cog will be at higher risk of Post-operative delirium. We also hypothesized that patients with a higher anticholinergic burden will be at higher risk of Post-operative delirium. Therefore, we suggest that while identification of predisposing factors like cognitive impairment may be used for risk evaluation in Transcatheter Aortic Valve Implantation, careful consideration of precipitating factors like concomitant medication use contributing to anticholinergic burden prior to procedure may also help to reduce risk of Post-operative delirium and improve survival and quality of life post Transcatheter Aortic Valve Implantation. Keywords: Higher anticholinergic burden, Anticholinergic Cognitive Burden scale, Transcatheter Aortic Valve Implantation