CHA2DS2-VASc Score Predicts In-Hospital and Long-Term Clinical Outcomes in Patients with ST-Segment Elevation Myocardial Infarction Who Were Undergoing Primary Percutaneous Coronary Intervention

Mehmet Bozbay, Huseyin Uyarel, Gokhan Cicek, Ahmet Oz, Muhammed Keskin, Ahmet Murat, Ersin Yildirim, Gurkan Karaca, Mehmet Ergelen, Mehmet Eren

Araştırma sonucu: Dergi katkısıMakalebilirkişi

27 Alıntılar (Scopus)

Özet

CHA2DS2-VASc score includes similar risk factors for coronary artery disease. We hypothesized that admission CHA2DS2-VASc score might be predictive of adverse clinical outcomes for patients with ST-segment elevation myocardial infarction (STEMI) who were undergoing primary percutaneous coronary intervention. A total of 647 patients with STEMI enrolled in this study. The study population was divided into 2 groups according to their admission CHA2DS2-VASc score. The low group (n = 521) was defined as CHA2DS2-VASc score ≤2, and the high group (n = 126) was defined as CHA2DS2-VASc score >2. Patients in the high group had significantly higher incidence of in-hospital cardiovascular mortality (8.7% vs 1.9%; P <.001). Long-term mortality was significantly frequent in the high group (13.4% vs 3.6%, P <.001). Hypertension, admission CHA2DS2-VASc score, and Killip class >1 were independent predictors of long-term mortality. Admission CHA2DS2-VASc score >2 was identified as an effective cutoff point for long-term mortality (area under curve = 0.821; 95% confidence interval: 0.76-0.89; P <.001). CHA2DS2-VASc score is a simple, very useful, easily remembered bedside score for predicting in-hospital and long-term adverse clinical outcomes in STEMI.

Orijinal dilİngilizce
Sayfa (başlangıç-bitiş)132-138
Sayfa sayısı7
DergiClinical and Applied Thrombosis/Hemostasis
Hacim23
Basın numarası2
DOI'lar
Yayın durumuYayınlanan - 1 Mar 2017
Harici olarak yayınlandıEvet

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