Prevalence and Progression of Cognitive Impairment in Atrial Fibrillation Patients after Treatment with Catheter Ablation or Drug Therapy
Purpose. In atrial fibrillation (AF) patients, the effect of catheter ablation or drug therapy on cognition is currently not well investigated. Therefore, we prospectively evaluated AF patients who were either treated 'with drug therapy or underwent catheter ablation for the prevalence and prog...
Saved in:
| Main Authors: | , , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2019-01-01
|
| Series: | Cardiology Research and Practice |
| Online Access: | http://dx.doi.org/10.1155/2019/7216598 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1850162503050330112 |
|---|---|
| author | Tina S. Tischer Daniel Nitschke Isabelle Krause Günther Kundt Alper Öner Giuseppe D’Ancona Erdal Şafak Hüseyin Ince Jasmin Ortak Evren Caglayan |
| author_facet | Tina S. Tischer Daniel Nitschke Isabelle Krause Günther Kundt Alper Öner Giuseppe D’Ancona Erdal Şafak Hüseyin Ince Jasmin Ortak Evren Caglayan |
| author_sort | Tina S. Tischer |
| collection | DOAJ |
| description | Purpose. In atrial fibrillation (AF) patients, the effect of catheter ablation or drug therapy on cognition is currently not well investigated. Therefore, we prospectively evaluated AF patients who were either treated 'with drug therapy or underwent catheter ablation for the prevalence and progression of cognitive impairment (CI). Methods. Randomized participants of the CABANA trial (catheter ablation versus antiarrhythmic drug therapy for atrial fibrillation) and the CASTLE-AF (catheter ablation versus standard conventional treatment in patients with left ventricular dysfunction and atrial fibrillation) study were assessed twice within 6 months by Montreal Cognitive Assessment (MoCA) and Mini-Mental State Examination (MMSE) in our institution. Results. Forty-five patients from both trials were investigated, and twenty-eight patients received catheter ablation, whereas seventeen patients received drug therapy for rhythm or rate control. The mean age of the twenty-one CABANA trial patients (AF group) was 68.8 ± 7.0 years and of the twenty-four CASTLE-AF study patients (AF/HF group) was 66.8 ± 8.1 years, respectively. Mean time from ablation/randomization to the first interview was 16.8 ± 11 months in the AF group and 28.3 ± 18.4 months in the AF/HF group, respectively. All patients investigated were classified as cognitively impaired with mean cutoff scores <24 by MoCA. Overall, we could not detect significant differences in medically treated versus catheter ablation patients within both groups in mean MMSE or MoCA scores between the first and the second interview (p>0.09). Moreover, patients who received catheter ablation did not show statistically significant differences in the prevalence or progression of cognitive impairment compared to patients who were treated medically, neither within the two groups nor between AF and AF/HF patients (p>0.05). Conclusions. Prevalence of cognitive impairment in AF patients with comorbidities is substantial. However, in this preliminary prospective study, no apparent impact of AF pretreatment on the prevalence and course of cognitive impairment could be observed. |
| format | Article |
| id | doaj-art-fe4b0c0f73dc49779bcbd8601ec33c0e |
| institution | OA Journals |
| issn | 2090-8016 2090-0597 |
| language | English |
| publishDate | 2019-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Cardiology Research and Practice |
| spelling | doaj-art-fe4b0c0f73dc49779bcbd8601ec33c0e2025-08-20T02:22:33ZengWileyCardiology Research and Practice2090-80162090-05972019-01-01201910.1155/2019/72165987216598Prevalence and Progression of Cognitive Impairment in Atrial Fibrillation Patients after Treatment with Catheter Ablation or Drug TherapyTina S. Tischer0Daniel Nitschke1Isabelle Krause2Günther Kundt3Alper Öner4Giuseppe D’Ancona5Erdal Şafak6Hüseyin Ince7Jasmin Ortak8Evren Caglayan9Department of Cardiology, University Hospital, Rostock, GermanyDepartment of Cardiology, University Hospital, Rostock, GermanyDepartment of Cardiology, University Hospital, Rostock, GermanyInstitute for Biostatistics and Informatics in Medicine and Ageing Research, University Hospital, Rostock, GermanyDepartment of Cardiology, University Hospital, Rostock, GermanyDepartment of Cardiology, Vivantes Klinikum im Friedrichshain und Am Urban, Berlin, GermanyDepartment of Cardiology, Vivantes Klinikum im Friedrichshain und Am Urban, Berlin, GermanyDepartment of Cardiology, University Hospital, Rostock, GermanyDepartment of Cardiology, Vivantes Klinikum im Friedrichshain und Am Urban, Berlin, GermanyDepartment of Cardiology, University Hospital, Rostock, GermanyPurpose. In atrial fibrillation (AF) patients, the effect of catheter ablation or drug therapy on cognition is currently not well investigated. Therefore, we prospectively evaluated AF patients who were either treated 'with drug therapy or underwent catheter ablation for the prevalence and progression of cognitive impairment (CI). Methods. Randomized participants of the CABANA trial (catheter ablation versus antiarrhythmic drug therapy for atrial fibrillation) and the CASTLE-AF (catheter ablation versus standard conventional treatment in patients with left ventricular dysfunction and atrial fibrillation) study were assessed twice within 6 months by Montreal Cognitive Assessment (MoCA) and Mini-Mental State Examination (MMSE) in our institution. Results. Forty-five patients from both trials were investigated, and twenty-eight patients received catheter ablation, whereas seventeen patients received drug therapy for rhythm or rate control. The mean age of the twenty-one CABANA trial patients (AF group) was 68.8 ± 7.0 years and of the twenty-four CASTLE-AF study patients (AF/HF group) was 66.8 ± 8.1 years, respectively. Mean time from ablation/randomization to the first interview was 16.8 ± 11 months in the AF group and 28.3 ± 18.4 months in the AF/HF group, respectively. All patients investigated were classified as cognitively impaired with mean cutoff scores <24 by MoCA. Overall, we could not detect significant differences in medically treated versus catheter ablation patients within both groups in mean MMSE or MoCA scores between the first and the second interview (p>0.09). Moreover, patients who received catheter ablation did not show statistically significant differences in the prevalence or progression of cognitive impairment compared to patients who were treated medically, neither within the two groups nor between AF and AF/HF patients (p>0.05). Conclusions. Prevalence of cognitive impairment in AF patients with comorbidities is substantial. However, in this preliminary prospective study, no apparent impact of AF pretreatment on the prevalence and course of cognitive impairment could be observed.http://dx.doi.org/10.1155/2019/7216598 |
| spellingShingle | Tina S. Tischer Daniel Nitschke Isabelle Krause Günther Kundt Alper Öner Giuseppe D’Ancona Erdal Şafak Hüseyin Ince Jasmin Ortak Evren Caglayan Prevalence and Progression of Cognitive Impairment in Atrial Fibrillation Patients after Treatment with Catheter Ablation or Drug Therapy Cardiology Research and Practice |
| title | Prevalence and Progression of Cognitive Impairment in Atrial Fibrillation Patients after Treatment with Catheter Ablation or Drug Therapy |
| title_full | Prevalence and Progression of Cognitive Impairment in Atrial Fibrillation Patients after Treatment with Catheter Ablation or Drug Therapy |
| title_fullStr | Prevalence and Progression of Cognitive Impairment in Atrial Fibrillation Patients after Treatment with Catheter Ablation or Drug Therapy |
| title_full_unstemmed | Prevalence and Progression of Cognitive Impairment in Atrial Fibrillation Patients after Treatment with Catheter Ablation or Drug Therapy |
| title_short | Prevalence and Progression of Cognitive Impairment in Atrial Fibrillation Patients after Treatment with Catheter Ablation or Drug Therapy |
| title_sort | prevalence and progression of cognitive impairment in atrial fibrillation patients after treatment with catheter ablation or drug therapy |
| url | http://dx.doi.org/10.1155/2019/7216598 |
| work_keys_str_mv | AT tinastischer prevalenceandprogressionofcognitiveimpairmentinatrialfibrillationpatientsaftertreatmentwithcatheterablationordrugtherapy AT danielnitschke prevalenceandprogressionofcognitiveimpairmentinatrialfibrillationpatientsaftertreatmentwithcatheterablationordrugtherapy AT isabellekrause prevalenceandprogressionofcognitiveimpairmentinatrialfibrillationpatientsaftertreatmentwithcatheterablationordrugtherapy AT guntherkundt prevalenceandprogressionofcognitiveimpairmentinatrialfibrillationpatientsaftertreatmentwithcatheterablationordrugtherapy AT alperoner prevalenceandprogressionofcognitiveimpairmentinatrialfibrillationpatientsaftertreatmentwithcatheterablationordrugtherapy AT giuseppedancona prevalenceandprogressionofcognitiveimpairmentinatrialfibrillationpatientsaftertreatmentwithcatheterablationordrugtherapy AT erdalsafak prevalenceandprogressionofcognitiveimpairmentinatrialfibrillationpatientsaftertreatmentwithcatheterablationordrugtherapy AT huseyinince prevalenceandprogressionofcognitiveimpairmentinatrialfibrillationpatientsaftertreatmentwithcatheterablationordrugtherapy AT jasminortak prevalenceandprogressionofcognitiveimpairmentinatrialfibrillationpatientsaftertreatmentwithcatheterablationordrugtherapy AT evrencaglayan prevalenceandprogressionofcognitiveimpairmentinatrialfibrillationpatientsaftertreatmentwithcatheterablationordrugtherapy |