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Revitalizing brain perfusion: Unveiling advancements through rhythm control strategies in atrial fibrillation-A systematic review.
Rasti, Shinta Dewi; Sugiarto, Adra Achirultan Ramainaldo; Nuryandi, Audia Putri Amalia; Arvianti, Militanisa Zamzara; Yomara, Romadhana Trisnha; Nagasastra, Jeffri; Julario, Rerdin; Fagi, Rosi Amrilla; Windrati, Diah Mustika Hesti.
Afiliación
  • Rasti SD; Faculty of Medicine Universitas Airlangga Surabaya Indonesia.
  • Sugiarto AAR; Faculty of Medicine Universitas Airlangga Surabaya Indonesia.
  • Nuryandi APA; Faculty of Medicine Universitas Gajah Mada Yogyakarta Indonesia.
  • Arvianti MZ; Faculty of Medicine Universitas Brawijaya Malang Indonesia.
  • Yomara RT; Faculty of Medicine Universitas Airlangga Surabaya Indonesia.
  • Nagasastra J; Faculty of Medicine Universitas Airlangga Surabaya Indonesia.
  • Julario R; Department of Cardiology and Vascular Medicine Dr. Soetomo General Hospital, Faculty of Medicine, University of Airlangga Surabaya Indonesia.
  • Fagi RA; Department of Cardiology and Vascular Medicine Dr. Soetomo General Hospital, Faculty of Medicine, University of Airlangga Surabaya Indonesia.
  • Windrati DMH; Department of Neurology Dr. Ramelan Naval Hospital Surabaya Indonesia.
J Arrhythm ; 40(3): 411-422, 2024 Jun.
Article en En | MEDLINE | ID: mdl-38939785
ABSTRACT

Background:

Recent evidence suggests an elevated risk of cognitive impairment and dementia in individuals with atrial fibrillation (AF), irrespective of stroke occurrence. AF, known to reduce brain perfusion, particularly through silent cerebral ischemia, underscores the intricate relationship between cardiac and cerebral health. The heart plays a crucial role in supporting normal brain function, and rhythm control, a standard AF treatment, has demonstrated enhancements in brain perfusion. This systematic review aimed to examine published data concerning the influence of rhythm control on brain perfusion in patients with atrial fibrillation.

Methods:

A systematic search for relevant studies was carried out in Scopus, PubMed, Cochrane Reviews, ProQuest, and EBSCOhost, spanning from their inception until April 30, 2023. Studies that specifically examined brain perfusion following any form of rhythm control in atrial fibrillation were included in the review.

Results:

The review encompassed 10 studies involving 436 participants. Among these, six utilized electrical cardioversion for rhythm control. The majority (8 out of 10) demonstrated that restoring sinus rhythm markedly enhances brain perfusion. In one of the two remaining studies, notable improvement was observed specifically in a region closely linked to cognition. Additionally, both studies reporting data on the Mini-Mental State Examination (MMSE) showed a consistent and significant increase in scores following rhythm control.

Conclusion:

Successful rhythm control in AF emerges as a significant contributor to enhanced brain perfusion, suggesting a potential therapeutic avenue for reducing cognitive impairment incidence. However, further validation through larger prospective studies and randomized trials is warranted.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: J Arrhythm Año: 2024 Tipo del documento: Article Pais de publicación: Japón
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: J Arrhythm Año: 2024 Tipo del documento: Article Pais de publicación: Japón