Mityaeva E V, Kamchatnov P R, Osmaeva Z Kh
Turgenev Orel state University, Orel, Russia.
Pirogov Russian National Medical Research University, Moscow, Russia.
Zh Nevrol Psikhiatr Im S S Korsakova. 2023;123(8):12-20. doi: 10.17116/jnevro202312308112.
Atrial fibrillation (AF) is a serious medical and social problem, being a common cause of ischemic stroke (IS) and cognitive impairment (CI), often reaching the degree of dementia. The most common cause of CI in patients with AF is transferred IS or repeated IS. In a significant part of patients with AF who have undergone IS, CI is detected directly in the acute period of the disease and progresses subsequently. In addition, the risk of developing CI is increased even in patients with AF who have not experienced IS before. The review discusses the data on the relationship between CI and AF, provides information on the possible causes of the development of CI in the considered group of patients. The main difficulties of managing a patient with AF and CI are considered.
心房颤动(AF)是一个严重的医学和社会问题,是缺血性中风(IS)和认知障碍(CI)的常见原因,常发展到痴呆程度。AF患者中CI最常见的原因是转移性IS或复发性IS。在经历过IS的AF患者中,很大一部分在疾病急性期直接检测到CI,随后病情进展。此外,即使在之前未经历过IS的AF患者中,发生CI的风险也会增加。本综述讨论了CI与AF之间关系的数据,提供了该组患者中CI发生可能原因的信息。还考虑了管理AF和CI患者的主要困难。