title: Preserving Cognitive Function in Patients with Atrial Fibrillation.
abstract: Atrial fibrillation (AF) is the most common cardiac arrhythmia worldwide and is associated with significant morbidity and mortality. Its prevalence increases with increasing age, and is one of the leading causes of thromboembolism, including ischemic stroke. The prevalence of cognitive dysfunction also increases with increasing age. Although several studies have shown a strong correlation between AF and cognitive dysfunction in patients with and without overt stroke, a direct causative link has yet to be established. Rhythm vs rate control and anticoagulation regimens have been extensively investigated, particularly with the introduction of the novel anticoagulants. With catheter ablation becoming more prevalent for the management of AF and the ongoing development of various new energy sources and catheters, an additional thromboembolism risk is introduced. As cognitive dysfunction decreases the patient's ability to self-care and manage a complex disease such as AF, this increases the burden to our healthcare system. Therefore as the prevalence of AF increases in the general population, it becomes more imperative that we strive to optimize our methods to preserve cognitive function. This review gives an overview of the current evidence behind the association of AF with cognitive dysfunction, and discusses the most up-to-date medical and procedural treatment strategies available for decreasing thromboembolism associated with AF and its treatment, which may lead to preserving cognitive function.
authors.affiliation: Asklepios-Klinik St. Georg, Dept. Of Cardiology, Lohmühlenstr. 5, 20099 Hamburg/Germany.
authors.forename: Tina
authors.initials: T
authors.lastname: Lin
authors.affiliation: Asklepios-Klinik St. Georg, Dept. Of Cardiology, Lohmühlenstr. 5, 20099 Hamburg/Germany.
authors.forename: Erik
authors.initials: E
authors.lastname: Wissner
authors.affiliation: Asklepios-Klinik St. Georg, Dept. Of Cardiology, Lohmühlenstr. 5, 20099 Hamburg/Germany.
authors.forename: Roland
authors.initials: R
authors.lastname: Tilz
authors.affiliation: Asklepios-Klinik St. Georg, Dept. Of Cardiology, Lohmühlenstr. 5, 20099 Hamburg/Germany.
authors.forename: Andreas
authors.initials: A
authors.lastname: Rillig
authors.affiliation: Asklepios-Klinik St. Georg, Dept. Of Cardiology, Lohmühlenstr. 5, 20099 Hamburg/Germany.
authors.forename: Shibu
authors.initials: S
authors.lastname: Mathew
authors.affiliation: Asklepios-Klinik St. Georg, Dept. Of Cardiology, Lohmühlenstr. 5, 20099 Hamburg/Germany.
authors.forename: Peter
authors.initials: P
authors.lastname: Rausch
authors.affiliation: Asklepios-Klinik St. Georg, Dept. Of Cardiology, Lohmühlenstr. 5, 20099 Hamburg/Germany.
authors.forename: Peter
authors.initials: P
authors.lastname: Rausch
authors.affiliation: Asklepios-Klinik St. Georg, Dept. Of Cardiology, Lohmühlenstr. 5, 20099 Hamburg/Germany.
authors.forename: Christine
authors.initials: C
authors.lastname: Lemes
authors.affiliation: Asklepios-Klinik St. Georg, Dept. Of Cardiology, Lohmühlenstr. 5, 20099 Hamburg/Germany.
authors.forename: Sebastian
authors.initials: S
authors.lastname: Deiss
authors.affiliation: Asklepios-Klinik St. Georg, Dept. Of Cardiology, Lohmühlenstr. 5, 20099 Hamburg/Germany.
authors.forename: Masashi
authors.initials: M
authors.lastname: Kamioka
authors.affiliation: Asklepios-Klinik St. Georg, Dept. Of Cardiology, Lohmühlenstr. 5, 20099 Hamburg/Germany.
authors.forename: Tudor
authors.initials: T
authors.lastname: Bucur
authors.affiliation: Asklepios-Klinik St. Georg, Dept. Of Cardiology, Lohmühlenstr. 5, 20099 Hamburg/Germany.
authors.forename: Feifan
authors.initials: F
authors.lastname: Ouyang
authors.affiliation: Asklepios-Klinik St. Georg, Dept. Of Cardiology, Lohmühlenstr. 5, 20099 Hamburg/Germany.
authors.forename: Karl-Heinz
authors.initials: KH
authors.lastname: Kuck
authors.affiliation: Asklepios-Klinik St. Georg, Dept. Of Cardiology, Lohmühlenstr. 5, 20099 Hamburg/Germany.
authors.forename: Andreas
authors.initials: A
authors.lastname: Metzner
keywords: Anti-Coagulation; Atrial Fibrillation; Catheter Ablation; Cognitive Dysfunction; Thromboembolism and Stroke