RESEARCH PAPER
Usage of perioperative anxiety neuromarker for improving the quality of life of a patient operated on for critical stenosis of the internal carotid artery
1
Department of Vascular Surgery and Endovascular Interventions, The John Paul II Hospital, Kraków, Poland
2
Faculty of Medicine and Health Sciences, Jan Kochanowski University, Kielce, Poland
3
Laboratory for Neurobiology of Action Programming, Institute of the Human Brain, Russian Academy of Sciences, St. Petersburg, Russia
Corresponding author
Mariusz Trystuła
Department of Vascular Surgery and Endovascular Interventions, The John Paul II Hospital, Kraków, Poland
Department of Vascular Surgery and Endovascular Interventions, The John Paul II Hospital, Kraków, Poland
Ann Agric Environ Med. 2016;23(4):612–617
KEYWORDS
ABSTRACT
Objective:
The aim of the study was to find a neuromarker of perioperative anxiety in a patient with critical carotid stenosis through the use of neuromarkers in Quantitative EEG (QEEG) and Event Related Potentials (ERPs). The indirect purpose of the research was evaluation of improvement in the patient’s quality of life.
Case study:
A 45-year-old woman was admitted to the Department of Vascular Surgery and Endovascular Interventions at the John Paul II Hospital in Krakow, with the diagnosis of critical internal carotid stenosis (over 80%), confirmed by Doppler Ultrasound and Angio-CT examinations. Before hospitalization, the patient had not presented any symptoms of brain ischemia. It was found that severe anxiety on the Hospital Anxiety and Depression Scale (HAD) was worse before the surgery. After the operation, a reduction anxiety in occurred as well as an improvement in the majority of the dimensions of health. Therefore, her quality of life improved.
Conclusions:
Significant changes were observed on the Hospital Anxiety and Depression Scale (HAD). Modern neurotechnologies measures are necessary to capture all the changes in the symptoms of anxiety before and after the operation for a carotid stenosis. ERPs might be used to select patients with neuromarker of perioperative anxiety, and subsequently to serve in proper psychological care and minimalize the perioperative risk of complications.
The aim of the study was to find a neuromarker of perioperative anxiety in a patient with critical carotid stenosis through the use of neuromarkers in Quantitative EEG (QEEG) and Event Related Potentials (ERPs). The indirect purpose of the research was evaluation of improvement in the patient’s quality of life.
Case study:
A 45-year-old woman was admitted to the Department of Vascular Surgery and Endovascular Interventions at the John Paul II Hospital in Krakow, with the diagnosis of critical internal carotid stenosis (over 80%), confirmed by Doppler Ultrasound and Angio-CT examinations. Before hospitalization, the patient had not presented any symptoms of brain ischemia. It was found that severe anxiety on the Hospital Anxiety and Depression Scale (HAD) was worse before the surgery. After the operation, a reduction anxiety in occurred as well as an improvement in the majority of the dimensions of health. Therefore, her quality of life improved.
Conclusions:
Significant changes were observed on the Hospital Anxiety and Depression Scale (HAD). Modern neurotechnologies measures are necessary to capture all the changes in the symptoms of anxiety before and after the operation for a carotid stenosis. ERPs might be used to select patients with neuromarker of perioperative anxiety, and subsequently to serve in proper psychological care and minimalize the perioperative risk of complications.
REFERENCES (21)
1.
Hopkins R O, Key C W, Suchyta M R, Weaver L K, Orme J F. Risk factors for depression and anxiety in survivors of acute respiratory distress syndrome. Gen Hosp Psychiatry. 2010; 32(2): 147–155.
2.
Nieuvenhuys A, Oudejans R R D. Anxiety and perceptual-motor performance: toward an integrated model of concepts, mechanisms, and processes. Psychol Res. 2012 Nov; 76(6): 747–759.
3.
Stroobant N, Vingerhoets G. Depression, anxiety, and neuropsychological performance in coronary artery bypass graft patients: a follow-up study. Psychosomatics. 2008; 49: 326–31.
4.
Gasparis A P, Ricotta L, Cuadra S A, Char D J, Purtill W A, Van Bemmelen P S, et al. High-risk carotid endarterectomy: fact or fiction. J Vasc Surg. 2003; 37: 40–46.
5.
Pąchalska M, Kaczmarek B L J, Kropotov J D. Neuropsychologia kliniczna: od teorii do praktyki. Warszawa: Wydawnictwo Naukowe PWN; 2014 (in Polish).
6.
Klevit H D, Bates A C, Castanares T, Kirk E P, Sipes-Metzler P R, Wopat R. Prioritization of health care services: a progress report by the Oregon Health Services Commission. Arch Intern Med. 1991; 151: 912–6.
7.
Ziębicka J, Gajdosz R. Wybrane aspekty lęku u chorych oczekujących na operację. Borgis – Anestezjol IntensywnaTerapia 2006; 1: 41–44.
8.
Williams J M G, Watts F N, MacLeod C, Mathews A. Cognitive psychology and emotional disorders. Chichester 1997.
10.
Shipper H. Quality of life: principles of the clinical paradigm. J Psychosoc Oncol. 1990; 8(23): 171–185.
11.
Mangione C M, Goldman L, Orav E J, Marcantonio E R, Pedan A, Ludwig L E, Donaldson M C, Suqarbaker D J, Poss R, Lee T H. Health-Related Quality of Life After Elective Surgery. Measurement of Longitudinal Changes. J Gen Intern Med. 1997 Nov; 12(11): 686–697.
12.
Trystuła M, Brzychczy A, Sułkowski L, Kazibudzki M, Misztal M, Musiałek P, Odrowąż-Pieniążek P. The quality of life of a patient with an iatrogenic brain stroke after angiosurgical treatment following the implant of a stentgraft into a dissected thoracic aorta with a congenital anatomical anomaly of branching of the right subclavian artery (arteria lusoria). Acta Neuropsychologica 2016; 14(1): 17–26.
13.
Lloyd A J, Hayes P D, London N J M, Bell P R F, Naylor AR. Does Carotid Endarterectomy Lead to a Decline in Cognitive Function or Health Related Quality of Life? J Clin Exp Neuropsychol. 2004; 26(6): 817–825.
14.
Zarins C K, Gewertz B L. Atlas chirurgii naczyń. Wydawnictwo: Urban & Partner. 2007 (in Polish).
15.
Kropotov J D. Quantitative EEG, Event Related Potentials and neurotherapy. San Diego: Academic Press, Elsevier; 2009.
16.
Marrocco-Trischitta M M, Bandiera G, Camilli S, Stillo F, Cirielli C, Guerrini P. Remifentanil conscious sedation during regional anaesthesia for carotid endarterectomy: rationale and safety. Eur J Vasc Endovasc Surg. 2001; 22: 405–409.
17.
Pąchalska M, Kaczmarek B L J, Kropotov J D. Neuropsychologia kliniczna: od teorii do praktyki. Warszawa: Wydawnictwo Naukowe PWN; 2014.
18.
Ahn S S, Marcus D R, Moore W S. Post-carotid endarterectomy hypertension: association with elevated cranial norepinephrine. J Vasc Surg. 1989; 9: 351–360.
19.
Brott T G, Hobson R W, Howard G, et al. Stenting versus endarterectomy for treatment of carotid-artery stenosis. N Engl J Med. 2010; 363: 11–23.
20.
Van Mook W N, Rennenberg R J, Schurink G W, et al. Cerebral hyperperfusion syndrome. Lancet Neurol. 2005; 4(12): 877–888.
21.
Yadav J S, Wholey M H, Kuntz R E, et al. Protected carotid-artery stenting versus endarterectomy in high-risk patients. N Engl J Med. 2004; 351(15): 1493–1501.
Share
RELATED ARTICLE
Improvement of visual identification of the journal - task financed under the agreement No. 618/P-DUN/2019 by the Minister of Science and Higher Education allocated to the activities of disseminating science.
Generation of the DOI (Digital Object Identifier) - task financed under the agreement No. 618/P-DUN/2019 by the Minister of Science and Higher
We process personal data collected when visiting the website. The function of obtaining information about users and their behavior is carried out by voluntarily entered information in forms and saving cookies in end devices. Data, including cookies, are used to provide services, improve the user experience and to analyze the traffic in accordance with the Privacy policy. Data are also collected and processed by Google Analytics tool (more).
You can change cookies settings in your browser. Restricted use of cookies in the browser configuration may affect some functionalities of the website.
You can change cookies settings in your browser. Restricted use of cookies in the browser configuration may affect some functionalities of the website.