European Heart Journal Advance Access published online on August 1, 2008
European Heart Journal, doi:10.1093/eurheartj/ehn343
Published on behalf of the European Society of Cardiology. All rights reserved. © The Author 2008. For permissions please email: journals.permissions@oxfordjournals.org
Atrial fibrillation is associated with impaired cognitive function and hippocampal atrophy: silent cerebral ischaemia vs. Alzheimer's disease?
Division of Cardiology, University Hospital Magdeburg, D-39120 Magdeburg, Germany
* Corresponding author. Tel: + 49 391 6713225, Fax: +49 391 6713202, Email: andreas.goette@medizin.uni-magdeburg.de
This editorial refers to Atrial fibrillation in stroke-free patients is associated with memory impairment and hippocampal atrophy, by S. Knecht et al. doi:10.1093/eurheartj/ehn341.
| The first 10% of the full text of this article appears below. |
Atrial fibrillation (AF) is the most common cause of thromboembolic stroke. Several studies have shown an activation of the plasmatic and cellular clotting system in patients with AF.1,2 Interestingly, these changes occur within hours after initiation of AF. In order to predict the individual risk for AF-related thromboembolic events, the CHADS2-score has been developed.1 It takes into account that especially elderly patients, patients with diabetes, hypertension, heart failure, and/or previous stroke are at greatest risk. Depending on the CHADS2-score, the yearly risk of stroke may vary between 1.9% (CHADS2-score of 0) and 18.2% (CHADS2-score of 6). The pathophysiological basis of how these clinical risk factors affect cardiac thrombogenesis or predict future thromboembolic events is complex. According to the Virchow triad there are three determinants of thrombus
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