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Published on: February 26, 2013
Atrial fibrillation in the elderly: a risk factor beyond stroke
Leonardo Bencivenga1, Klara Komici2, Pierangela Nocella3
1Department of Translational Medical Sciences, University of Naples "Federico II", Italy; Department of Advanced Biomedical Sciences, University of Naples "Federico II", Italy.
Atrial fibrillation (AF), a common heart rhythm disorder, increases with age and leads to complications beyond stroke, particularly in older adults. This review focuses on these less-studied AF complications in the elderly population.
Area of Science:
- Cardiology
- Geriatrics
- Internal Medicine
Background:
- Atrial fibrillation (AF) is the most prevalent arrhythmia globally, with prevalence increasing significantly with age.
- AF is a known risk factor for ischemic stroke and systemic embolism, contributing to substantial morbidity and mortality.
- Beyond stroke, AF is linked to other serious conditions including heart failure, cognitive decline, and reduced quality of life.
Purpose of the Study:
- To review current evidence on atrial fibrillation complications beyond stroke.
- To focus specifically on the implications and management of these complications in the elderly population.
Main Methods:
- Literature review of updated evidence.
- Focus on studies concerning elderly patients (over 65 years).
Main Results:
- AF complications in the elderly are complex due to aging heterogeneity and comorbidities.
- Evidence for managing AF complications beyond stroke in older adults is limited.
- AF contributes to heart failure, pulmonary embolism, physical impairment, mood disorders, and cognitive impairment in the elderly.
Conclusions:
- Management of AF in the elderly is challenging due to multiple health issues.
- Further research and evidence-based guidelines are needed for AF complications in older adults.
- Addressing AF complications beyond stroke is crucial for improving health outcomes in the aging population.
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