Prediction of late recurrence after atrial fibrillation catheter ablation by CHADS 2 and CHA 2 DS 2 -VASc scores
10.19405/j.cnki.issn1000-1492.2022.07.023
- Author:
Yu Zhang
1
;
Fei He
1
;
Jianlong Sheng
1
;
Banglong Xu
1
Author Information
1. Dept of Cardiology，The Second Affiliated Hospital of Anhui Medical University，Hefei 230601
- Publication Type:Journal Article
- Keywords:
atrial fibrillation;
catheter ablation;
CHADS2 scores;
CHA2 DS2 -VASc scores
- From:
Acta Universitatis Medicinalis Anhui
2022;57(7):1138-1142
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the predictive value of CHADS2and CHA2DS2-VASc scores for late recurrence after catheter ablation( CA) of atrial fibrillation.
Methods:92 patients with atrial fibrillation of CA who hospitalized in the Second Affiliated Hospital of Anhui Medical University for the first time from July 2018 to December2020 were collected.
Results:From the 3rd postoperative month to the 6th postoperative month,atrial fibrillation outpatients should follow-up each month. 92 patients were collected,of which 3 were missing during follow-up,89were followed up,and late postoperative recurrence ratio was 24%. Compared with patients without recurrence,recurrent patients were significantly higher in age,smoking( 30%),diabetes mellitus( 38%),heart failure( 29%),platelet count,left atrial diameter( LA),CHADS2,and CHA2DS2-VASc scores; furthermore Logistic regression analyzed variance factors that were not included in the score: CHADS2( OR = 13. 473,95% CI: 3. 804-47. 713),LA( OR = 1. 193,95% CI: 1. 049-1. 356)( P<0. 05); CHA2DS2-VASc( OR = 5. 363,95% CI: 2. 822-10. 193),LA( OR = 1. 245,95% CI: 1. 087-1. 426)( P<0. 05). ROC curves predicted the values of two sets of scores for late recurrence after CA,AUC( CHADS2) = 0. 8578( 95% CI: 0. 7618-0. 9539),AUC( CHA2DS2-VASc) = 0. 8848( 95% CI: 0. 7985-0. 9711).
Conclusion:LA,CHADS2and CHA2DS2-VASc scores are independent risk factors for late recurrence after CA of atrial fibrillation,and CHA2DS2-VASc scores have better predictive value.
- Full text:2025022709495243491CHADS_2及CHA_2...消融术后晚期复发的预测价值_张雨.pdf
