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Çinar T, Oz A, Tanik VO. A Simple Risk Scoring System to Estimate Adverse Cardiovascular Outcomes in Patients Undergoing Percutaneous Coronary Intervention: CHA 2DS 2-VASc. Angiology 2018; 70:887. [PMID: 30466308 DOI: 10.1177/0003319718813449] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Affiliation(s)
- Tufan Çinar
- 1 Department of Cardiology, Sultan Abdulhamid Han Training and Research Hospital, Health Sciences University, Istanbul, Turkey
| | - Ahmet Oz
- 1 Department of Cardiology, Sultan Abdulhamid Han Training and Research Hospital, Health Sciences University, Istanbul, Turkey
| | - Veysel Ozan Tanik
- 2 Department of Cardiology, Ankara Diskapi Yildirim Beyazit Training and Research Hospital, Ankara, Turkey
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Wang X, Pei C, Bai Y, Dai Q, Deng X, Liu Y, Li Z, You J, Peng J, Lin L, Zou Y. Predictive Value of CHA 2DS 2-VASc Score for Ischemic Events in Patients Undergoing Percutaneous Coronary Intervention. Angiology 2018; 70:878-886. [PMID: 30317861 DOI: 10.1177/0003319718804661] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
We evaluated the association of preprocedure CHA2DS2-VASc (congestive heart failure, hypertension, age, diabetes mellitus, stroke, vascular disease, and sex) score with ischemic events in patients undergoing percutaneous coronary intervention (PCI). The Dryad Digital Repository enrolled 2533 patients between July 2009 and August 2011. We recorded 1-year ischemic events. Univariate and multivariable logistic regression analyses were used to analyze the association between CHA2DS2-VASc score and ischemic events. Receiver operating characteristic curves were used to evaluate the accuracy of CHA2DS2-VASc score in predicting long-term ischemic events. Long-term death (9.5 vs 2.8%), cardiac death (2.9 vs 1.4%), and nonfatal stroke (1.9 vs 0.7%) were significantly higher in the CHA2DS2-VASc score ≥2 group than the CHA2DS2-VASc score ≤1 group. The CHA2DS2-VASc score was a predictor for all-cause death (odds ratio [95% confidence interval]: 3.71 [1.89-7.30]). The risk factors for all-cause death in CHA2DS2-VASc score ≥2 patients included age, diagnosis, heart failure, older myocardial infarction, diabetes, and chronic obstructive pulmonary disease, while the risk factor for CHA2DS2-VASc score ≤1 patients was age. In conclusion, the CHA2DS2-VASc score is associated with long-term all-cause death, cardiac death, and stroke in patients undergoing PCI, and it may have a potential use for risk stratification for patients who undergo PCI.
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Affiliation(s)
- Xiaoyan Wang
- 1 Department of Cardiology, Shanghai Institute of Cardiovascular Diseases, Zhongshan Hospital, Fudan University, Shanghai, China
| | - Chongzhe Pei
- 2 Department of Cardiology, Xinhua Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, China
| | - Yingnan Bai
- 1 Department of Cardiology, Shanghai Institute of Cardiovascular Diseases, Zhongshan Hospital, Fudan University, Shanghai, China
| | - Qiying Dai
- 3 Department of Internal Medicine, Metrowest Medical Center, Framingham, MA, USA
| | - Xin Deng
- 1 Department of Cardiology, Shanghai Institute of Cardiovascular Diseases, Zhongshan Hospital, Fudan University, Shanghai, China
| | - Yue Liu
- 4 Department of Cardiology, The First Affiliated Hospital of Harbin Medical University, Harbin, Heilongjiang Province, China
| | - Zhi Li
- 5 Department of Cardiology, General Hospital of Shenyang Military Region, Liaoning Sheng, China
| | - Jieyun You
- 6 Department of Cardiology, Shanghai East Hospital, Tongji University, Shanghai, China
| | - Juan Peng
- 1 Department of Cardiology, Shanghai Institute of Cardiovascular Diseases, Zhongshan Hospital, Fudan University, Shanghai, China
| | - Li Lin
- 6 Department of Cardiology, Shanghai East Hospital, Tongji University, Shanghai, China
| | - Yunzeng Zou
- 1 Department of Cardiology, Shanghai Institute of Cardiovascular Diseases, Zhongshan Hospital, Fudan University, Shanghai, China
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