Why the study?
Atrial fibrillation is a common cause of ischemic stroke and cognitive impairment, but the relationship, causes of cognitive decline, and management difficulties require review.
What is the relationship between atrial fibrillation and cognitive impairment, and what are the management challenges?
What is the relationship between atrial fibrillation and cognitive impairment, and what are the management challenges?
This review emphasizes the significant risk of cognitive impairment in patients with atrial fibrillation, highlighting the need for careful management even in the absence of prior stroke.
AF patients merit cognitive monitoring after IS; leaves open direct AF effects beyond infarction.
Atrial fibrillation (AF) is a serious medical and social problem, being a common cause of ischemic stroke (IS) and cognitive impairment (CI), often reaching the degree of dementia. The most common cause of CI in patients with AF is transferred IS or repeated IS. In a significant part of patients with AF who have undergone IS, CI is detected directly in the acute period of the disease and progresses subsequently. In addition, the risk of developing CI is increased even in patients with AF who have not experienced IS before. The review discusses the data on the relationship between CI and AF, provides information on the possible causes of the development of CI in the considered group of patients. The main difficulties of managing a patient with AF and CI are considered.
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Mityaeva et al. (2023) studied this question.
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