STROKE AFTER CARDIAC SURGERY: PROGNOSTIC POTENTIAL AND PERSONALIZED RISK FACTORS ASSESSMENT

Abstract

A systematic study of risk factors for cerebral stroke in cardiac surgery patients was carried out. The prognostic potential of clinical and anamnestic factors and their diagnostic value in relation to the formation of a high risk of cerebral stroke during cardiac surgery using artificial circulation were determined. The ranking of the studied factors was performed and the threatometric approach was substantiated regarding the formation of mi to provide neurological support for patients with cardiac surgery in the “open heart”. An algorithm, a visual analogue scale for assessing personalized risk of cerebral stroke has been developed, and an example of their application in planning cardiac surgery using artificial circulation is given. It has been demonstrated that the presence of anemia, closed craniocerebral trauma in the anamnesis against the background of a decrease in the left ventricular ejection fraction of the heart should be considered as unfavorable predictors and “signaling markers” for choosing alternative cardiac surgery is without using of аrtificial circulation.