Impact of cognitive impairment on clinical outcomes in elderly patients with atrial fibrillation: ANAFIE Registry

Autor: Hiroyuki Tsutsui, Hiroshi Inoue, Atsushi Hirayama, Kazunori Toyoda, Wataru Shimizu, Yukihiro Koretsune, Masahiro Yasaka, Takeshi Yamashita, Masaharu Akao, Hirotsugu Atarashi, Takanori Ikeda, Ken Okumura, Takenori Yamaguchi, Satoshi Teramukai, Tetsuya Kimura, Atsushi Takita, Ken Nagata, Shinya Suzuki, Yoshiyuki Morishima
Jazyk: angličtina
Rok vydání: 2023
Předmět:
Zdroj: BMJ Neurology Open, Vol 5, Iss 1 (2023)
Druh dokumentu: article
ISSN: 2632-6140
DOI: 10.1136/bmjno-2022-000370
Popis: Background This subcohort study of All Nippon AF In the Elderly (ANAFIE) Registry based on 33 275 elderly patients (aged ≥75 years) with non-valvular atrial fibrillation (NVAF) investigated the relationship between cognitive function and 2-year clinical outcomes.Methods A total of 2963 (mean age, 81.4 years) patients participated in this subcohort study and were classified as having normal cognition (Mini-Mental State Examination (MMSE) score ≥24/30) or cognitive impairment (score ≤23/30) at baseline. Patients with a decrease of >2 points after 24 months were classified as having cognitive decline.Results At baseline, 586 (19.8%) patients had cognitive impairment. These patients tended to be older and had poorer general conditions than patients with normal cognition. The 2-year probability of stroke/systemic embolic events (SEEs), major bleeding and intracranial haemorrhage was numerically higher; those of cardiovascular death, all-cause death and net clinical outcome (composite of stroke/SEE, major bleeding and all-cause death) were significantly higher (all p
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