Impact of hypertension history and blood pressure parameters on cognitive impairment in patients with atrial fibrillation: a systematic review and meta-analysis - Takeaways - MDSpire

Impact of hypertension history and blood pressure parameters on cognitive impairment in patients with atrial fibrillation: a systematic review and meta-analysis

  • By

  • Xingxing Mi

  • Ting Wang

  • Weidong Ye

  • Yamei Yuan

  • June 2, 2026

  • 0 min

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  • 1

    A systematic review analyzed 20 studies involving 998,622 atrial fibrillation patients to assess cognitive impairment related to hypertension history.

  • 2

    History of hypertension significantly increases the risk of cognitive impairment in atrial fibrillation patients, with an odds ratio of 2.22.

  • 3

    High-normal blood pressure levels (130-139/85-89 mmHg) are associated with cognitive impairment in atrial fibrillation patients, with a hazard ratio of 1.07.

  • 4

    The study identified hypertension history as a potential risk factor for dementia, with an odds ratio of 4.88.

  • 5

    Intervening on modifiable risk factors like hypertension is crucial for preventing cognitive decline in patients with atrial fibrillation.

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