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Catheter Ablation in Combination With Left Atrial Appendage Closure for Atrial Fibrillation
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[Atrial fibrillation and impairment of cognition-importance for geriatrics]

Alexander Rösler1, Renate Schnabel2

  • 1Klinik für Geriatrie, Bethesda Krankenhaus Hamburg Bergedorf, Glindersweg 80, 22029, Hamburg, Deutschland. roesler@bkb.info.

Zeitschrift Fur Gerontologie Und Geriatrie
|July 7, 2020
PubMed

Insights

Atrial fibrillation is independently linked to cognitive impairment, potentially due to silent strokes or reduced blood flow to the brain. Further research is needed to confirm protective effects of treatments like anticoagulation.

Area of Science:

  • Neurology
  • Cardiology

Background:

  • Atrial fibrillation is a common cardiac arrhythmia.
  • Cognitive impairment affects memory and thinking skills.

Purpose of the Study:

  • To investigate the association between atrial fibrillation and cognitive impairment.
  • To explore potential pathomechanisms linking these conditions.

Main Methods:

  • The study reviewed current research and clinical data.
  • Analysis focused on identifying independent associations and causative factors.

Main Results:

  • An independent association between atrial fibrillation and cognitive impairment is likely.
  • Embolisms causing silent cerebral infarction and hypoperfusion leading to gray matter atrophy are potential mechanisms.
  • Evidence for protective effects of anticoagulation, rhythm, and rate control is currently insufficient.

Conclusions:

  • Atrial fibrillation may contribute to cognitive decline through various mechanisms.
  • Further investigation is required to establish the efficacy of current treatments in preventing cognitive impairment in atrial fibrillation patients.

Keywords:
Atrial FibrillationCardiologyCognitionDementiaGeriatrics

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