After heart surgery affective disorder.docVIP

 PAGE \* MERGEFORMAT 6 After heart surgery affective disorder 1. Definition and incidence of affective disorder (Affective disorder) is a kind of mental illness has many manifestations, including the biological, behavioral, social and psychological factors. Depression, bipolar disorder and anxiety disorders are the most common affective disorder. In recent years, retrospective studies have reported that cardiopulmonary bypass (CPB) after cardiac surgery the incidence of mental disorders are very different (3% ~ 90%), but the majority between 30% ~ 50% [1-4]. Produce this difference might be related to sources of information, case group age differences, testing the different indicators or other relevant criteria for a diagnosis. 2. Information related risk factors, age, sex, hypertension and diabetes, low levels of heart function, and preoperative history of mental illness Deng Jun can increase the risk of mental disorders after cardiopulmonary bypass [5,6]. Adult mental disorders after CPB surgery occurred in all age groups there were significant differences. Elderly patients more prone to brain damage, increase the postoperative risk of mental disorders [6]. More women than men after heart surgery took place at higher risk of stroke, more likely to have central nervous system injury arising from mental disorders [7]. Studies have shown that more women than men produce depression. High blood pressure to the pressure - flow curve shifted to the right place could easily lead to cerebral ischemia during hypotension to increase the postoperative risk of mental disorders [6,8], diabetes, abnormal blood sugar levels affect the brain energy metabolism. Reported in the literature [9], cardiac function at all levels of psychiatric symptoms occurred after the probability of a different, worse preoperative cardiac function, postoperative mental symptoms, the higher the probability. Preoperative and postoperative history of mental illness was positively correlated with m