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Atrial Fibrillation and Dementia: Pathophysiological Mechanisms and Clinical Implications

Overview
Journal Biomolecules
Publisher MDPI
Date 2024 Apr 27
PMID 38672471
Authors
Affiliations
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Abstract

Numerous longitudinal studies suggest a strong association between cardiovascular risk factors and cognitive impairment. Individuals with atrial fibrillation are at higher risk of dementia and cognitive dysfunction, as atrial fibrillation increases the risk of cerebral hypoperfusion, inflammation, and stroke. The lack of comprehensive understanding of the observed association and the complex relationship between these two diseases makes it very hard to provide robust guidelines on therapeutic indications. With this review, we attempt to shed some light on how atrial fibrillation is related to dementia, what we know regarding preventive interventions, and how we could move forward in managing those very frequently overlapping conditions.

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References
1.
Kerr A, Simmonds M, Stewart R . Influence of heart rate on stroke volume variability in atrial fibrillation in patients with normal and impaired left ventricular function. Am J Cardiol. 1999; 82(12):1496-500. DOI: 10.1016/s0002-9149(98)00693-6. View

2.
Heiss W, Rosenberg G, Thiel A, Berlot R, De Reuck J . Neuroimaging in vascular cognitive impairment: a state-of-the-art review. BMC Med. 2016; 14(1):174. PMC: 5094143. DOI: 10.1186/s12916-016-0725-0. View

3.
Wersching H, Duning T, Lohmann H, Mohammadi S, Stehling C, Fobker M . Serum C-reactive protein is linked to cerebral microstructural integrity and cognitive function. Neurology. 2010; 74(13):1022-9. DOI: 10.1212/WNL.0b013e3181d7b45b. View

4.
Bunch T, May H, Cutler M, Woller S, Jacobs V, Stevens S . Impact of anticoagulation therapy on the cognitive decline and dementia in patients with non-valvular atrial fibrillation (cognitive decline and dementia in patients with non-valvular atrial fibrillation [CAF] trial). J Arrhythm. 2022; 38(6):997-1008. PMC: 9745454. DOI: 10.1002/joa3.12781. View

5.
Madhavan M, Hu T, Gersh B, Roger V, Killian J, Weston S . Efficacy of Warfarin Anticoagulation and Incident Dementia in a Community-Based Cohort of Atrial Fibrillation. Mayo Clin Proc. 2018; 93(2):145-154. PMC: 5814135. DOI: 10.1016/j.mayocp.2017.09.021. View