Cognitive Outcomes After Cardiovascular Procedures in Older Adults: A Systematic Review

This information has recently been updated and the following items posted:

• Cardiovascular Procedures and Subsequent Cognitive Function.
• Cardiovascular Procedures and Subsequent Cognitive Function: Disposition of Comments[PDF File—154 KB].

Cognitive Outcomes After Cardiovascular Procedures in Older Adults: A Systematic Review

 Issue

Concern about the possible association between cardiovascular procedures and subsequent cognitive outcomes is long standing. Particularly for coronary artery bypass grafting (CABG), and to a lesser extent for other procedures such as carotid endarterectomy (CEA), cardiac valve replacement, and catheter ablation for atrial fibrillation, these concerns have stimulated investigations to try to protect against adverse cognitive outcomes and have raised questions about the relative benefits and harms of these procedures versus alternatives and whether targeting interventions based on patient characteristics such as age and baseline cognitive function could improve patient cognitive outcomes.

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