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AF increases the risk of stroke, heart failure, dementia, and hospitalization. Weight loss has been shown to reverse these changes and reduce AF risk and recurrence after ablation. Journal of the American Heart Association, Ahead of Print. ABSTRACTAtrial fibrillation (AF) is the most common cardiac arrhythmia.
The big risk of AF is thought to be an increased risk of strokes and therefore when we see patients above the age of 65, or patients who carry comorbidities we recommend lifelong anticoagulation and as long as the patient is anticoagulated, we feel that the patient is safe. We never really think beyond the risk of stroke.
Furthermore, it includes the latest recommendations which specifically address AF and thromboembolic risk assessment, anticoagulation, left atrial appendage occlusion, AF catheter or surgical ablation, and risk factor modification and AF prevention. By 2030, it is estimated that AF prevalence in the United States will rise to 12.1 million.
Background:Catheter ablation (CA) is increasingly used for treatment of atrial fibrillation (AF). Cox proportional hazards models were used to estimate hazard ratios (HR) for the composite and individual endpoints from CABANA trial (death, stroke, major bleeding or cardiac arrest) and CASTLE-AF trial (death or heart failure).
It is associated with increased mortality and morbidity, including increased risk of dementia. The mechanisms underlying the association between AF and dementia are complex, including stroke, chronic cerebral hypoperfusion, and systemic inflammation.
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