Neuropsychological functioning among cardiac rehabilitation patients

David J. Moser, Ronald A. Cohen, Matthew M Clark, Mark S. Aloia, Barbara A. Tate, Sandra Stefanik, Daniel E. Forman, Peter L. Tilkemeier

Research output: Contribution to journalArticle

58 Citations (Scopus)

Abstract

Purpose. The underlying pathophysiology contributing to coronary heart disease also predisposes patients to cerebrovascular disease and associated cognitive disorders. Although prior studies have focused on the neuropsychological sequelae of specific cardiac problems, few have examined the associated cognitive capacities and limitations of typical cardiac patients. The current study was designed to examine neuropsychological functioning among a sample of cardiac rehabilitation (CR) patients. Methods. Using neuropsychological instruments, patients were compared in a CR program to age-matched outpatient control subjects who had no known history of cardiac or neurologic disease. Cardiac rehabilitation patients were then divided into dichotomous subgroups based on whether they had undergone coronary artery bypass grafting, had experienced a myocardial infarction, had hypertension, or had impaired ejection fraction. Neuropsychological functioning was examined relative to each of these factors. Results. Cardiac rehabilitation patients had poorer neuropsychological test performance than did control subjects, with subtle relative deficits on measures of response generation, memory, and verbal abstraction, and particularly verbal fluency. Low ejection fraction, hypertension, and prior coronary artery bypass graft were associated with greater relative neuropsychological impairments. Conclusions. Although CR patients were not grossly neuropsychological impaired as a group, it appears highly likely that many within a given program exhibit some degree of neuropsychological dysfunction. Including neuropsychological screening as part of pre-CR testing would help to identify such patients. This information may help staff to impart health care information in a manner that is most effective for the individual patient and may also be useful in the formation of realistic goals.

Original languageEnglish (US)
Pages (from-to)91-97
Number of pages7
JournalJournal of Cardiopulmonary Rehabilitation
Volume19
Issue number2
StatePublished - 1999
Externally publishedYes

Fingerprint

Coronary Artery Bypass
Hypertension
Cardiac Rehabilitation
Cerebrovascular Disorders
Neuropsychological Tests
Nervous System Diseases
Coronary Disease
Heart Diseases
Outpatients
Myocardial Infarction
Delivery of Health Care
Transplants

Keywords

  • Cardiac rehabilitation
  • Cognitive dysfunction
  • Neurocognitive
  • Neuropsychological

ASJC Scopus subject areas

  • Rehabilitation

Cite this

Moser, D. J., Cohen, R. A., Clark, M. M., Aloia, M. S., Tate, B. A., Stefanik, S., ... Tilkemeier, P. L. (1999). Neuropsychological functioning among cardiac rehabilitation patients. Journal of Cardiopulmonary Rehabilitation, 19(2), 91-97.

Neuropsychological functioning among cardiac rehabilitation patients. / Moser, David J.; Cohen, Ronald A.; Clark, Matthew M; Aloia, Mark S.; Tate, Barbara A.; Stefanik, Sandra; Forman, Daniel E.; Tilkemeier, Peter L.

In: Journal of Cardiopulmonary Rehabilitation, Vol. 19, No. 2, 1999, p. 91-97.

Research output: Contribution to journalArticle

Moser, DJ, Cohen, RA, Clark, MM, Aloia, MS, Tate, BA, Stefanik, S, Forman, DE & Tilkemeier, PL 1999, 'Neuropsychological functioning among cardiac rehabilitation patients', Journal of Cardiopulmonary Rehabilitation, vol. 19, no. 2, pp. 91-97.
Moser, David J. ; Cohen, Ronald A. ; Clark, Matthew M ; Aloia, Mark S. ; Tate, Barbara A. ; Stefanik, Sandra ; Forman, Daniel E. ; Tilkemeier, Peter L. / Neuropsychological functioning among cardiac rehabilitation patients. In: Journal of Cardiopulmonary Rehabilitation. 1999 ; Vol. 19, No. 2. pp. 91-97.
@article{29557f1842c04f45877bc7ecae0ea1d8,
title = "Neuropsychological functioning among cardiac rehabilitation patients",
abstract = "Purpose. The underlying pathophysiology contributing to coronary heart disease also predisposes patients to cerebrovascular disease and associated cognitive disorders. Although prior studies have focused on the neuropsychological sequelae of specific cardiac problems, few have examined the associated cognitive capacities and limitations of typical cardiac patients. The current study was designed to examine neuropsychological functioning among a sample of cardiac rehabilitation (CR) patients. Methods. Using neuropsychological instruments, patients were compared in a CR program to age-matched outpatient control subjects who had no known history of cardiac or neurologic disease. Cardiac rehabilitation patients were then divided into dichotomous subgroups based on whether they had undergone coronary artery bypass grafting, had experienced a myocardial infarction, had hypertension, or had impaired ejection fraction. Neuropsychological functioning was examined relative to each of these factors. Results. Cardiac rehabilitation patients had poorer neuropsychological test performance than did control subjects, with subtle relative deficits on measures of response generation, memory, and verbal abstraction, and particularly verbal fluency. Low ejection fraction, hypertension, and prior coronary artery bypass graft were associated with greater relative neuropsychological impairments. Conclusions. Although CR patients were not grossly neuropsychological impaired as a group, it appears highly likely that many within a given program exhibit some degree of neuropsychological dysfunction. Including neuropsychological screening as part of pre-CR testing would help to identify such patients. This information may help staff to impart health care information in a manner that is most effective for the individual patient and may also be useful in the formation of realistic goals.",
keywords = "Cardiac rehabilitation, Cognitive dysfunction, Neurocognitive, Neuropsychological",
author = "Moser, {David J.} and Cohen, {Ronald A.} and Clark, {Matthew M} and Aloia, {Mark S.} and Tate, {Barbara A.} and Sandra Stefanik and Forman, {Daniel E.} and Tilkemeier, {Peter L.}",
year = "1999",
language = "English (US)",
volume = "19",
pages = "91--97",
journal = "Journal of Cardiopulmonary Rehabilitation and Prevention",
issn = "1932-7501",
publisher = "Lippincott Williams and Wilkins",
number = "2",

}

TY - JOUR

T1 - Neuropsychological functioning among cardiac rehabilitation patients

AU - Moser, David J.

AU - Cohen, Ronald A.

AU - Clark, Matthew M

AU - Aloia, Mark S.

AU - Tate, Barbara A.

AU - Stefanik, Sandra

AU - Forman, Daniel E.

AU - Tilkemeier, Peter L.

PY - 1999

Y1 - 1999

N2 - Purpose. The underlying pathophysiology contributing to coronary heart disease also predisposes patients to cerebrovascular disease and associated cognitive disorders. Although prior studies have focused on the neuropsychological sequelae of specific cardiac problems, few have examined the associated cognitive capacities and limitations of typical cardiac patients. The current study was designed to examine neuropsychological functioning among a sample of cardiac rehabilitation (CR) patients. Methods. Using neuropsychological instruments, patients were compared in a CR program to age-matched outpatient control subjects who had no known history of cardiac or neurologic disease. Cardiac rehabilitation patients were then divided into dichotomous subgroups based on whether they had undergone coronary artery bypass grafting, had experienced a myocardial infarction, had hypertension, or had impaired ejection fraction. Neuropsychological functioning was examined relative to each of these factors. Results. Cardiac rehabilitation patients had poorer neuropsychological test performance than did control subjects, with subtle relative deficits on measures of response generation, memory, and verbal abstraction, and particularly verbal fluency. Low ejection fraction, hypertension, and prior coronary artery bypass graft were associated with greater relative neuropsychological impairments. Conclusions. Although CR patients were not grossly neuropsychological impaired as a group, it appears highly likely that many within a given program exhibit some degree of neuropsychological dysfunction. Including neuropsychological screening as part of pre-CR testing would help to identify such patients. This information may help staff to impart health care information in a manner that is most effective for the individual patient and may also be useful in the formation of realistic goals.

AB - Purpose. The underlying pathophysiology contributing to coronary heart disease also predisposes patients to cerebrovascular disease and associated cognitive disorders. Although prior studies have focused on the neuropsychological sequelae of specific cardiac problems, few have examined the associated cognitive capacities and limitations of typical cardiac patients. The current study was designed to examine neuropsychological functioning among a sample of cardiac rehabilitation (CR) patients. Methods. Using neuropsychological instruments, patients were compared in a CR program to age-matched outpatient control subjects who had no known history of cardiac or neurologic disease. Cardiac rehabilitation patients were then divided into dichotomous subgroups based on whether they had undergone coronary artery bypass grafting, had experienced a myocardial infarction, had hypertension, or had impaired ejection fraction. Neuropsychological functioning was examined relative to each of these factors. Results. Cardiac rehabilitation patients had poorer neuropsychological test performance than did control subjects, with subtle relative deficits on measures of response generation, memory, and verbal abstraction, and particularly verbal fluency. Low ejection fraction, hypertension, and prior coronary artery bypass graft were associated with greater relative neuropsychological impairments. Conclusions. Although CR patients were not grossly neuropsychological impaired as a group, it appears highly likely that many within a given program exhibit some degree of neuropsychological dysfunction. Including neuropsychological screening as part of pre-CR testing would help to identify such patients. This information may help staff to impart health care information in a manner that is most effective for the individual patient and may also be useful in the formation of realistic goals.

KW - Cardiac rehabilitation

KW - Cognitive dysfunction

KW - Neurocognitive

KW - Neuropsychological

UR - http://www.scopus.com/inward/record.url?scp=0032952501&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0032952501&partnerID=8YFLogxK

M3 - Article

VL - 19

SP - 91

EP - 97

JO - Journal of Cardiopulmonary Rehabilitation and Prevention

JF - Journal of Cardiopulmonary Rehabilitation and Prevention

SN - 1932-7501

IS - 2

ER -