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January 1, 2020Brain CommunicationsOpen Access

Serum neurofilament light in atrial fibrillation: clinical, neuroimaging and cognitive correlates

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Key result

Serum neurofilament light in atrial fibrillation patients was associated with the CHA2DS2-VASc score (19.2% increase per unit; 95% CI 17.2-21.3%), vascular brain lesions, and cognitive function.

Why the study?

AF is associated with cognitive dysfunction independently of stroke, but the underlying mechanisms remain unclear.

Population

1379 AF patients in the Swiss-AF Study

Comparison

Associations with serum neurofilament light protein levels

Design

Cross-sectional analysis

Authors

APAlexandros A. PolymerisMCMichael CoslovksySAStefanie Aeschbacher

Discussion

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Member takes

Overview

Serum NfL was associated with CHA2DS2-VASc in AF; leaves open its role in stroke-independent cognitive decline.

Study Design

Type

Cross-Sectional (n=1,379)

Structured PICO

P
Population
1,379 patients with atrial fibrillation (mean age 72 years, 27% female) assessed for associations between serum neurofilament light, neuroimaging, and cognitive measures.
E
Exposure
Serum neurofilament light protein measurement
O
Outcome
Association of serum neurofilament light protein with the CHA2DS2-VASc score, clinical and neuroimaging parameters, and cognitive measuressurrogate

Main Result

Effect estimate: 19.2% increase per unit (95% CI 17.2-21.3)

In patients with atrial fibrillation, serum neurofilament light protein correlates with clinical risk factors, vascular brain lesions, and cognitive dysfunction, suggesting its utility as a biomarker for neuronal injury.

Cite This Study

Polymeris et al. (2020) conducted a cross-sectional in Atrial fibrillation (n=1,379). Serum neurofilament light protein was evaluated on Association with CHA2DS2-VASc score (19.2% increase per unit, 95% CI 17.2-21.3). Serum neurofilament light in atrial fibrillation patients was associated with the CHA2DS2-VASc score (19.2% increase per unit; 95% CI 17.2-21.3%), vascular brain lesions, and cognitive function.

synapsesocial.com/papers/6aa02f91dce2742334985f2chttps://doi.org/10.1093/braincomms/fcaa166
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Atrial Fibrillation is Associated With Reduced Brain Volume and Cognitive Function Independent of Cerebral Infarcts2013 · 167 citations
  2. 2Serum neurofilament light chain in patients with acute cerebrovascular events2017 · 114 citations
  3. 3Design of the Swiss Atrial Fibrillation Cohort Study (Swiss-AF): structural brain damage and cognitive decline among patients with atrial fibrillation2017 · 91 citations
  4. 4Evaluation of risk stratification schemes for ischaemic stroke and bleeding in 182 678 patients with atrial fibrillation: the Swedish Atrial Fibrillation cohort study2012 · 1,207 citations
  5. 5The Consortium to Establish a Registry for Alzheimer's Disease (CERAD). Part I. Clinical and neuropsychological assesment of Alzheimer's disease1989 · 4,167 citations