Predictive value of electrocardiogram score for MACE in elderly patients with coronary heart disease complicated with atrial fibrillation
10.3969/j.issn.1009-0126.2024.11.009
- VernacularTitle:心电图评分对老年冠心病合并心房颤动患者主要不良心血管事件的预测价值
- Author:
Xinjun FAN
1
;
Sheng ZHAO
;
Li RONG
;
Yanlin GAO
;
Wei CHENG
Author Information
1. 230041 合肥,安徽省第二人民医院心内科
- Keywords:
coronary disease;
atrial fibrillation;
forecasting;
electrocardiography;
major adverse car-diac events
- From:
Chinese Journal of Geriatric Heart Brain and Vessel Diseases
2024;26(11):1292-1295
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the predictive value of morphology-voltage-P wave duration(MVP)electrocardiogram(ECG)score for major adverse cardiovascular events(MACE)in elder-ly patients with coronary heart disease(CHD)and atrial fibrillation(AF)within 1 year after treatment.Methods A total of 122 elderly CHD patients with concomitant AF admitted to our department from August 2020 to June 2023 were enrolled,and divided into MACE group(n=31)and non-MACE group(n=91)according to whether MACE occurred within 1 year after treat-ment.Their clinical data,treatment,laboratory indicators and ECG data were collected and ana-lyzed.Multivariate logistic regression analysis was used to identify the risk factors of MACE,and ROC curve was drawn to calculate the AUC value of MVP ECG score in the prediction of MACE occurrence.Results The MACE group had significantly higher Gensini score,C-reactive protein(CRP)level and MVP ECG score,and lower LVEF value than the non-MACE group(P＜0.01).Multivariate logistic regression analysis showed that Gensini score,CRP,LVEF and MVP ECG score were the influencing factors for MACE in elderly CHD patients complicated with AF within 1 year after treatment(OR=4.562,95％CI:1.881-11.064,P=0.001;OR=5.127,95％CI:1.865-14.096,P=0.001;OR=0.998,95％CI:0.687-0.959,P=0.012;OR=4.829,95％CI:2.343-9.953,P=0.001).ROC curve analysis indicated that the AUC value of MVP ECG score in predic-ting MACE within 1 year after treatment in these patients was 0.820,and the optimal cut-off val-ue was 3,the sensitivity was 77.78％and the specificity was 61.00％.Conclusion MVP ECG score has a good predictive value for MACE in elderly CHD patients with concomitant AF within 1 year after treatment.
