Clinical and immunological relationship and the possibility of correction of violations of cytokine regulation and cognitive dysfunction in patients with atrial fibrillation
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Keywords

atrial fibrillation, cognitive disorder, rosuvastatin, atorvastatin, lipid spectrum, inflammation.

How to Cite

Stadnik, S. (2015). Clinical and immunological relationship and the possibility of correction of violations of cytokine regulation and cognitive dysfunction in patients with atrial fibrillation. The Journal of Neuroscience, 3(4), 5-12. Retrieved from https://neuroscience.com.ua/index.php/journal/article/view/179

Abstract

The aim of the study was to evaluate the effects of early statin therapy on the activity of mediators of inflammation, blood lipids and cognitive function in patients with persistent and paroxysmal forms of atrial fibrillation (AF). In the clinical study included 188 patients with a mean age of 56,8±6,2 years. All patients at the beginning of therapy performed neuropsychological testing to assess cognitive functions. Later patients along with standard therapy were prescribed rosuvastatin (n=60) or atorvastatin (n=56), it was determined the blood lipid spectrum and the level of inflammatory mediators (C-reactive protein, interleukin‑6, tumor necrosis factor-alpha). On the 14-th day of hospitalization and after 6 months all patients were re-investigation of the above parameters and the assessment of cognitive function. The clinical picture is equipped with light and moderate cognitive disorders. Patients of the main group on the background of statin treatment increased mental performance and attention, which manifested itself in reduction of average time of search of numbers when you run the sample Schulte. In the study of memory functions it was shown that prolonged statin therapy resulted in improvement in short-term and long-term memory. Statin therapy resulted in a significant decrease in the content of mediators of inflammation and blood lipids before the 14-th days of treatment
and after 6 months. The data obtained allow to recommend therapy with statins from the first day of hospital stage of treatment in all patients with cognitive dysfunction on the background of persistent and paroxysmal forms of AF, which reduces the number of complications and improves the prognosis of the disease.

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