Catheter Ablation and Cognitive Impairment in Atrial Fibrillation: Another Hit or a Silver Bullet?
Catheter Ablation and Cognitive Impairment in Atrial Fibrillation: Another Hit or a Silver Bullet?
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心房颤动中的导管消融和认知障碍：另一个打击还是灵丹妙药？
DOI：
10.1161/circep.119.007521
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发表时间：
2019
期刊：
影响因子：
--
通讯作者：
Lampert,Rachel
中科院分区：
文献类型：
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作者：
Rosman,Lindsey;Burg,MatthewM;Lampert,Rachel
努力预防或延迟AF患者的认知功能下降和神经系统疾病的发作是一个高度优先事项，因为这些疾病造成了重大的经济和社会负担。痴呆症是一种无法治愈的神经退行性疾病，在美国影响510万年龄> 65岁的人，其发病率估计到2050年将增加两倍。轻度认知障碍也非常普遍，虽然它们不会明显损害日常生活活动，但它们可能导致复杂任务，解决问题，轻度混乱和保留信息的更大困难，这可能会加剧潜在的健康状况并影响生活质量。鉴于痴呆、轻度认知功能障碍和AF的发病率随年龄增长而增加，并对患者和社区产生破坏性影响，评价不同的治疗方案是否能预防或延迟AF患者的认知功能下降和神经系统疾病的发作至关重要。
Efforts to prevent or delay cognitive decline and the onset of neurological disorders in patients with AF is a high priority because of the significant economic and societal burden imposed by these conditions. 1 Dementia is an incurable neurodegenerative disease that affects 5.1 million individuals aged> 65 years in the United States, and its incidence is estimated to triple by the year 2050. 1 Milder forms of cognitive impairment are also highly prevalent and while they do not overtly impair activities of daily living, they can lead to greater difficulties with complex tasks, problem-solving, mild confusion, and retaining information, which can exacerbate underlying health conditions and affect quality of life. Given that the incidence of dementia, mild cognitive impairment, and AF increases with age and has devastating effects on patients and communities, evaluation of whether different treatment options prevent or delay cognitive decline and the onset of neurological disorders in patients with AF is critically important.