Cognitive Impairment Associated With Atrial Fibrillation

Letters4 June 2013Cognitive Impairment Associated With Atrial FibrillationShadi Kalantarian, MD, MPH and Jeremy N. Ruskin, MDShadi Kalantarian, MD, MPHFrom Massachusetts General Hospital, Boston, Massachusetts. and Jeremy N. Ruskin, MDFrom Massachusetts General Hospital, Boston, Massachusetts.Author, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-158-11-201306040-00016 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail IN RESPONSE:We appreciate Dr. Nardone's comments and agree with his suggestions, which we attempted to address and investigate during the data extraction. However, sufficient data were not available to allow for any meaningful analysis of cognitive impairment risk by AF subtypes. Fourteen studies reported the association between AF and cognitive impairment in a broad population, but only 2 reported the type of AF as either chronic (1) or paroxysmal or chronic (2). None of the included studies reported separate risk estimates by AF subtype.In a letter to the editor, Rozzini and colleagues (3) reported the risk for cognitive ...References1. Elias MF, Sullivan LM, Elias PK, Vasan RS, D'Agostino RB, Seshadri S, et al. Atrial fibrillation is associated with lower cognitive performance in the Framingham offspring men. J Stroke Cerebrovasc Dis. 2006;15:214-22. PMID: 17904078 CrossrefMedlineGoogle Scholar2. Marengoni A, Qiu C, Winblad B, Fratiglioni L. Atrial fibrillation, stroke and dementia in the very old: a population-based study. Neurobiol Aging. 2011;32:1336-7. PMID: 19732992 CrossrefMedlineGoogle Scholar3. Rozzini R, Sabatini T, Trabucchi M. Chronic atrial fibrillation and low cognitive function Letter. Stroke. 1999;30:190-1. PMID: 9880414 CrossrefMedlineGoogle Scholar Author, Article, and Disclosure InformationAuthors: Shadi Kalantarian, MD, MPH; Jeremy N. Ruskin, MDAffiliations: From Massachusetts General Hospital, Boston, Massachusetts.Disclosures: Disclosures can be viewed at www.acponline.org/authors/icmje/ConlictOfInterestForms.do?msNum=M12-1971. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoCognitive Impairment Associated With Atrial Fibrillation David A. Nardone Metrics Cited bySpontaneous Echo Contrast in the Left Atrium and Aortic-Arch Atheroma, Detected by Transesophageal Echocardiography, Was Negatively Correlated with Cognitive FunctionWho Benefits Most From Early Rhythm Control in Newly Diagnosed Atrial Fibrillation?Global cognitive performance at 4-year follow-up in individuals with atrial fibrillation—findings from The Irish Longitudinal Study on AgeingInternal Jugular Vein Velocity and Spontaneous Echo Contrast Correlate with Alzheimer's Disease and Cognitive FunctionNExUS-Heart: Novel examinations using smart technologies for heart health—Data sharing from commercial wearable devices and telehealth engagement in participants with or at risk of atrial fibrillationNeuropsychological Outcomes and Posttraumatic Stress Disorder in Adults with Congenital Heart DiseaseDepressive and Anxiety Symptoms in Adult Congenital Heart Disease: Prevalence, Health Impact and TreatmentAtrial FibrillationNeurodevelopmental and psychosocial outcomes across the congenital heart disease lifespanAtrial fibrillation and prestroke cognitive impairment in stroke 4 June 2013Volume 158, Issue 11Page: 849KeywordsAdjusted odds ratioAtrial fibrillationCognitive impairmentConflicts of interestDisclosureForecastingOdds ratioRisk management ePublished: 4 June 2013 Issue Published: 4 June 2013 Copyright & PermissionsCopyright © 2013 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...