Patients with coronary artery disease are at risk for neuropsychological decline. Postoperative increases in neurofilament light concentration in blood, a marker of neuronal injury, have been associated with delirium after noncardiac surgery.
In an observational study of 167 cardiac surgery patients nested within a randomized controlled study of blood pressure management, higher baseline neurofilament light concentration in blood is associated with worse baseline cognition, but improvement in cognition at 1 year. An increase in neurofilament light on postoperative day 1 is associated with a greater decline in cognition at 1 year.
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