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Rapid onset of dementia in women is associated with atrial fibrillation

Rapid onset of dementia in women is associated with atrial fibrillation

 


7 July 2023 – Women with a common heart rhythm problem called atrial fibrillation are more likely to develop dementia, and the severity of dementia in women progresses faster than in men A new study reveals that.

One reason may be that women are at higher risk of going undiagnosed with atrial fibrillation and may be experiencing small ‘silent strokes’ that damage the brain a little at a time, says the lead study. person said.

“Symptoms of atrial fibrillation in women may go undiagnosed because they may be ignored by medical professionals or attributed to stress and anxiety. [a] Men are more likely to be diagnosed and treated more quickly,” study author Kathryn Wood, Ph.D., associate professor of nursing at Emory University, said in the paper. statement. “The undiagnosed means they were not taking oral anticoagulants to prevent blood clots and strokes from atrial fibrillation. This may result in a gradual decline in brain function and the development of cognitive impairment.”

of studywas published last month in the Alzheimer’s Association Journal. Alzheimer’s disease and dementiaincluded data from 43,630 people, of whom 4,593 had atrial fibrillation and 39,037 did not have atrial fibrillation at study entry. The average age of study participants was 78.5 years and 46% were female. The researchers looked at whether people were diagnosed with atrial fibrillation, whether they had a diagnosis of cognitive impairment or a more severe form of dementia at diagnosis, and how quickly symptoms progressed.

Women with atrial fibrillation were three times more likely than men to be diagnosed with mild cognitive impairment or dementia. Women had a 26% increased risk of transitioning from normal to mild cognitive functioning and an 89% increased risk of transitioning from mild cognitive functioning to dementia after atrial fibrillation diagnosis. An increased risk was also seen for men with atrial fibrillation and for men and women without atrial fibrillation.

according to CDCan estimated 12 million people in the United States have atrial fibrillation, which may be asymptomatic or may include one or more of the following:

  • arrhythmia
  • Heart palpitations (rapid, palpitating, or pounding)
  • Lightheadedness
  • exhaustion
  • difficulty breathing
  • chest pain

People with atrial fibrillation are five times more likely to have a stroke. The CDC estimates that one in his seven cases of stroke is caused by atrial fibrillation. Irregular heartbeat means that blood is not properly flowing from the upper ventricles of the heart to the lower ventricles, and the problem may be short-lived or permanent.

“Establishing a way to identify patients with atrial fibrillation who are most at risk of cognitive decline and stroke will help future interventions to prevent or slow the progression to cognitive impairment and dementia,” said Wood. said.

Sources

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2/ https://www.webmd.com/heart-disease/atrial-fibrillation/news/20230707/rapid-dementia-onset-linked-to-atrial-fibrillation-in-women

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