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Prevalence and Progression of Cognitive Impairment in Atrial Fibrillation Patients after Treatment with Catheter Ablation or Drug Therapy
Joint Authors
Ince, H.
Tischer, Tina S.
Nitschke, Daniel
Krause, Isabelle
Kundt, Günther
Öner, Alper
D’Ancona, Giuseppe
Şafak, Erdal
Ortak, Jasmin
Caglayan, Evren
Source
Cardiology Research and Practice
Issue
Vol. 2019, Issue 2019 (31 Dec. 2019), pp.1-8, 8 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2019-12-14
Country of Publication
Egypt
No. of Pages
8
Main Subjects
Abstract EN
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.
American Psychological Association (APA)
Tischer, Tina S.& Nitschke, Daniel& Krause, Isabelle& Kundt, Günther& Öner, Alper& D’Ancona, Giuseppe…[et al.]. 2019. Prevalence and Progression of Cognitive Impairment in Atrial Fibrillation Patients after Treatment with Catheter Ablation or Drug Therapy. Cardiology Research and Practice،Vol. 2019, no. 2019, pp.1-8.
https://search.emarefa.net/detail/BIM-1146055
Modern Language Association (MLA)
Tischer, Tina S.…[et al.]. Prevalence and Progression of Cognitive Impairment in Atrial Fibrillation Patients after Treatment with Catheter Ablation or Drug Therapy. Cardiology Research and Practice No. 2019 (2019), pp.1-8.
https://search.emarefa.net/detail/BIM-1146055
American Medical Association (AMA)
Tischer, Tina S.& Nitschke, Daniel& Krause, Isabelle& Kundt, Günther& Öner, Alper& D’Ancona, Giuseppe…[et al.]. Prevalence and Progression of Cognitive Impairment in Atrial Fibrillation Patients after Treatment with Catheter Ablation or Drug Therapy. Cardiology Research and Practice. 2019. Vol. 2019, no. 2019, pp.1-8.
https://search.emarefa.net/detail/BIM-1146055
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1146055