Cerebrovascular Disease in Dementia: the Importance of Atrial Fibrillation
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The relationship between cardiovascular disease and cerebral infarction was analysed in a prospectively assessed post mortem series of 48 demented patients. Hypertension was rare in this group of patients whose mean age was 82.7 y. Atrial fibrillation was the most important underlying cardiac abnormality. It is suggested that atrial fibrillation is more important than hypertension in the aetiology of cerebral infarction in the very aged and that this may be relevant to the pathogenesis of cerebrovascular dementia.
Zheng Y, Li G Ann Indian Acad Neurol. 2024; 27(6):619-628.
PMID: 39652360 PMC: 11745263. DOI: 10.4103/aian.aian_62_24.
Li G, Chen Y, Lin Y, Chien K, Hsieh Y, Chung F Europace. 2023; 25(5).
PMID: 37097046 PMC: 10228604. DOI: 10.1093/europace/euad109.
Hamasaki H, Shijo M, Nakamura A, Honda H, Yamada Y, Oda Y Brain Pathol. 2021; 32(1):e13014.
PMID: 34390072 PMC: 8713523. DOI: 10.1111/bpa.13014.
Atrial Fibrillation and Risk of Dementia: Epidemiology, Mechanisms, and Effect of Anticoagulation.
da Silva R, Miranda C, Liu T, Tse G, Roever L Front Neurosci. 2019; 13:18.
PMID: 30766470 PMC: 6365433. DOI: 10.3389/fnins.2019.00018.
Heart disease as a risk factor for dementia.
Justin B, Turek M, Hakim A Clin Epidemiol. 2013; 5:135-45.
PMID: 23658499 PMC: 3641811. DOI: 10.2147/CLEP.S30621.