Renée F. A. G. de Bruijn, MD1,2; Jan Heeringa, MD, PhD1; Frank J. Wolters, MD1,2; et alOscar H. Franco, MD, PhD1; Bruno H. C. Stricker, MD, PhD1; Albert Hofman, MD, PhD1; Peter J. Koudstaal, MD, PhD2; M. Arfan Ikram, MD, PhD1,3
IMPORTANCE Atrial fibrillation (AF) has been suggested as a risk factor for dementia since it
may lead to chronic cerebral hypoperfusion and stroke. However, longitudinal studies
assessing the association between AF and dementia have shown inconsistent results.
OBJECTIVE To determine the effect of AF on the risk of developing dementia during 20 years
of follow-up.
DESIGN, SETTING, AND PARTICIPANTS The association of prevalent and incident AF with
incident dementia was assessed from July 6, 1989, to February 4, 2010, in 6514
dementia-free participants in the prospective population-based Rotterdam Study. Data
analysis was conducted from September 18, 2014, to April 17, 2015. Cox proportional hazards
regression models adjusting for age, sex, and cardiovascular risk factors; censored for stroke;
and stratified by median age were used. In addition, we investigated whether the association
between incident AF and dementia varied according to the duration of exposure, categorized
in 6-year time bands.
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