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Psychological Risks of Coronary Bypass Surgery (Paperback, 1984)
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Psychological Risks of Coronary Bypass Surgery (Paperback, 1984)
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Heart surgery is still a relatively recent advance in medical
technology. The first open-heart procedure was closure of an atrial
septal defect in a child at the University of Minnesota Hospital in
1953. This issued in a life-saving advance, the use of which has
expanded enormously to in clude treatment of many areas of cardiac
disease. Not unexpectedly, surgical techniques allowed through the
use of the heart-lung machine (open-heart surgery) came to be
applied in 1967 to the major killer of Americans, namely, coronary
artery disease. This operation, known as coronary artery bypass,
has become one of the most common surgical operations. Coronary
artery disease, with the possibility of total incapacitation or
sudden death from a heart attack, can alter severely the
personality of the patient. Corrective surgery can sometimes
intensify rather than ame liorate a patient's fears. To the
surgeon, occupied by increasing numbers of patients, there is not
time enough to give the preoperative attention that might be
helpful. Also, the surgeon and cardiologist are limited in their
ability to recognize those patients near the breaking point. The
research outlined in these chapters by Drs. Pimm, Feist, and their
associates is welcomed by cardiologists and cardiac surgeons. It
provides insight into what appears to be reliable recognition of
those patients likely to have an adversely affected mental status
by coronary bypass surgery and "crisis intervention" to avert this
effect and allow the complete benefit of returning the patient to a
normal life."
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