Evaluation of CHA2DS2-VASc and ATRIA scores in patients with ST-elevation myocardial infarction

Yıl 2019, Cilt: 10 Sayı: 4, 377 - 380, 13.12.2019

Ali Bağcı Fatih Aksoy

Öz

Objective: CHA2DS2-VASc and ATRIA scores are a valid, practical
method for the risk classification of thromboembolic complications due to
atrial fibrillation. The aim of this study was to evaluate the use of
CHA2DS2-VASC and ATRIA scores in predicting high-risk patients with coronary
artery disease.

Patients and methods: Between May 2015 and Jan 2016, 432 patients who were
followed up with a diagnosis of myocardial infarction with ST elevation were
included in the study. Baseline demographic characteristics, ATRIA,
CHA2DS2-VASC and SYNTAX scores were calculated. The patients were divided into two
groups according to the low and medium-high SYNTAX score.

Results: 20% of the patients had moderate to high SYNTAX score and 25.9% were
female. The mean age of the patients was 63.9 ± 13.7 (28-91) years.
CHA2DS2-VASC score and ATRIA score were significantly higher in patients with moderate-to-high
SYNTAX score than in patients with low SYNTAX score (2.0 ± 1.4 versus 2.4 ±
1.5; p = 0.014 and  3.2 ± 2.8 versus 4.2
± 2; p = 0.009, respectively). In the correlation analysis, there was a
positive correlation between the SYNTAX score and the CHA2DS2-VASC and ATRIA
scores. In addition, in the single regression analysis, the CHA2DS2-VASC and
ATRIA scores predicted patients with moderate to high SYNTAX scores.

Conclusion: ATRIA and CHA2DS2-VASc scores are the scoring systems
that can be used in coronary artery prevalence. The use of STEMI patients in
the evaluation of high-risk patients may be recommended.

Anahtar Kelimeler

SNTAX score, CHA2DS2-VASc score, ATRIA score, coronary artery disease

Akut Koroner Sendromu Olan Bireylerde CHA2DS2-VASc ve ATRIA Skorlarının Değerlendirilmesi

Öz

Amaç:
CHA2DS2-VASc ve ATRIA skorları atriyal fibrilasyona bağlı tromboembolik
komplikasyonların risk sınıflandırmasında kullanılan geçerli, pratik bir
yöntemdir. Bu çalışmada CHA2DS2-VASC ve ATRIA skorlarının koroner arter
hastalığına sahip yüksek riskli hastaları ön görmedeki kullanımının
değerlendirilmesi amaçlanmıştır.

Hastalar
ve yöntem: Çalışmaya 2015 Mayıs ayı ile 2016 Ocak ayları
arasında bir üniversite tıp fakültesi kardiyoloji ST elevasyonlu miyokart
enfarktüsü tanısı ile takip edilen 432 hasta dahil edilmiştir. Tüm hastaların
bazal demografik özellikleri değerlendirilmiş ATRIA, CHA2DS2-VASC ve SYNTAX
skorları hesaplanmıştır. Hastalar düşük ve orta-yüksek SYNTAX skoruna göre iki
gruba ayrılmıştır.

Bulgular:
Hastaların
%20’si orta-yüksek SYNTAX skoruna sahipti ve %25,9’u kadındı. Hastaların yaş ortalaması ise
63,9±13,7 (28-91)’di. Orta-yüksek SYNTAX skoruna sahip
olan hastaların ortalama CHA2DS2-VASC(2,0±1,4
ve 2,4±1,5; p=0,014) ve ATRIA skorları (3,2±2,8 ve 4,2±2,8; p=0,009)
 düşük SYNTAX grubuna sahip hastalara
göre anlamlı olarak yüksekti. Yapılan korelasyon analizinde ise SYNTAX skoru
ile CHA2DS2-VASC ve ATRIA skorları arasında pozitif korelasyon mevcuttu. Ayrıca
yapılan tekli regresyon analizinde CHA2DS2-VASC ve ATRIA skorları orta-yüksek
SYNTAX skoruna sahip hastaları öngörmekteydi.

Sonuç:
ATRIA
ve CHA₂DS₂-VASc skorları koroner arter yaygınlığında
kullanılabilen yatak başında hızlıca değerlendirilen skorlama sistemleridir.
STEMI hastalarında yüksek riskli hastaların değerlendirilmesinde kullanımı
önerilebilir. 

Anahtar Kelimeler

SYNTAX skoru, CHA2DS2-VASc skoru, ATRIA skoru, koroner arter hastalığı

Kaynakça

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