Cognitive disorders in patients with atrial fibrillation

Atrial fibrillation (AF) is one of the most common arrhythmias, and its prevalence increases with age. Cognitive impairment (CI) is a frequent concomitant disorder in AF and is an additional factor in reducing the quality of life and adherence to treatment in such patients. AF is associated with an...

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Main Authors: O.A. Yepanchintseva, A.S. Solonovych, O.S. Solonovych
Format: Article
Language:English
Published: TOV Chetverta Khvylia 2023-06-01
Series:Кардіохірургія та інтервенційна кардіологія
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Online Access:https://csic.com.ua/en/issues/archive/1-2-2023/1368-cognitive-disorders-in-patients-with-atrial-fibrillation.html
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author O.A. Yepanchintseva
A.S. Solonovych
O.S. Solonovych
author_facet O.A. Yepanchintseva
A.S. Solonovych
O.S. Solonovych
author_sort O.A. Yepanchintseva
collection DOAJ
description Atrial fibrillation (AF) is one of the most common arrhythmias, and its prevalence increases with age. Cognitive impairment (CI) is a frequent concomitant disorder in AF and is an additional factor in reducing the quality of life and adherence to treatment in such patients. AF is associated with an increased risk of dementia in patients with and without history of stroke. It is well known that AF and CI share common risk factors such as age, hypertension, diabetes, dyslipidemia, obstructive sleep apnea, coronary heart disease, heart failure, chronic kidney disease, obesity, etc. The available data show that AF and CI have common pathophysiological factors, which, in addition to stroke, include hypoperfusion, microhemorrhages, brain atrophy, systemic atherosclerotic vascular damage, endothelial dysfunction, and inflammation. Screening neuropsychological scales might be used to assess the state of cognitive functions in patients with AF, and contemporary neuroimaging methods allow detecting structural changes in the brain. Specific methods of treatment of CI in AF have not yet been developed. Optimal antithrombotic therapy is the main means of prevention of cerebrovascular events, and therefore CI in AF.
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language English
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publisher TOV Chetverta Khvylia
record_format Article
series Кардіохірургія та інтервенційна кардіологія
spelling doaj-art-0b686c7ebccd42d5b84368da720126932025-01-16T15:20:16ZengTOV Chetverta KhvyliaКардіохірургія та інтервенційна кардіологія2305-31272023-06-011/2152110.31928/2305-3127-2023.1-2.1521Cognitive disorders in patients with atrial fibrillationO.A. Yepanchintseva0A.S. Solonovych1O.S. Solonovych2Shupyk National Healthcare University of Ukraine, Kyiv, UkraineHeart Institute of the Ministry of Health of Ukraine, Kyiv, UkraineA.P. Romodanov Neurosurgery Institute NAMS of Ukraine, Kyiv, UkraineAtrial fibrillation (AF) is one of the most common arrhythmias, and its prevalence increases with age. Cognitive impairment (CI) is a frequent concomitant disorder in AF and is an additional factor in reducing the quality of life and adherence to treatment in such patients. AF is associated with an increased risk of dementia in patients with and without history of stroke. It is well known that AF and CI share common risk factors such as age, hypertension, diabetes, dyslipidemia, obstructive sleep apnea, coronary heart disease, heart failure, chronic kidney disease, obesity, etc. The available data show that AF and CI have common pathophysiological factors, which, in addition to stroke, include hypoperfusion, microhemorrhages, brain atrophy, systemic atherosclerotic vascular damage, endothelial dysfunction, and inflammation. Screening neuropsychological scales might be used to assess the state of cognitive functions in patients with AF, and contemporary neuroimaging methods allow detecting structural changes in the brain. Specific methods of treatment of CI in AF have not yet been developed. Optimal antithrombotic therapy is the main means of prevention of cerebrovascular events, and therefore CI in AF.https://csic.com.ua/en/issues/archive/1-2-2023/1368-cognitive-disorders-in-patients-with-atrial-fibrillation.htmlatrial fibrillationcognitive disordersneuroimagingneuropsychological testinganticoagulant therapy
spellingShingle O.A. Yepanchintseva
A.S. Solonovych
O.S. Solonovych
Cognitive disorders in patients with atrial fibrillation
Кардіохірургія та інтервенційна кардіологія
atrial fibrillation
cognitive disorders
neuroimaging
neuropsychological testing
anticoagulant therapy
title Cognitive disorders in patients with atrial fibrillation
title_full Cognitive disorders in patients with atrial fibrillation
title_fullStr Cognitive disorders in patients with atrial fibrillation
title_full_unstemmed Cognitive disorders in patients with atrial fibrillation
title_short Cognitive disorders in patients with atrial fibrillation
title_sort cognitive disorders in patients with atrial fibrillation
topic atrial fibrillation
cognitive disorders
neuroimaging
neuropsychological testing
anticoagulant therapy
url https://csic.com.ua/en/issues/archive/1-2-2023/1368-cognitive-disorders-in-patients-with-atrial-fibrillation.html
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AT assolonovych cognitivedisordersinpatientswithatrialfibrillation
AT ossolonovych cognitivedisordersinpatientswithatrialfibrillation