Peculiarities of 24 hours ECG monitoring and frequency of vascular dementia in patients with different approaches to treatment of atrial fibrillation

Atrial fibrillation is one of the major risk factors of stroke. Identifying predictors of arrhythmia can be a key to its early diagnosis and reducing the frequency of cognitive impairment. The purpose of our study was to investigate the prerequisites of paroxysmal AF, as well as their relationship to the occurrence of dementia. The work is based on a study of 204 patients with paroxysmal and / or persistent forms of AF and 42 healthy individuals. Methods we used, were; 24-hours ECG monitoring, clinical and anamnestic data, Hachinski Ischemic Score. It was revealed that the incidence of pathological electrogramms’ manifestations depends on patient management. In summary, the study found that the incidence of pathological disorders during 24-hours ECG monitoring depends on patient management. The highest electrogramms’ disorders, as well as incidence of vascular dementia are typical for patients with sole drug tactics. Less often displayed data were ascertained in patients after ablation. Application of cardioversion does not reduce the incidence of pathological phenomena during 24-hours ECG monitoring, but reduces the risk of vascular dementia.