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August 27, 2015Pacing and Clinical Electrophysiology

A CHA2DS2VASc score ≥6 was associated with a significantly higher risk of major adverse cardiac outcomes in patients without atrial fibrillation (RR 4.2; 95% CI 1.27-13.90).

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Why the study?

Does the CHA2DS2VASc score predict major adverse cardiac outcomes in ambulatory patients without atrial fibrillation?

Population

468 outpatients without atrial fibrillation or flutter, not using oral anticoagulation. Mean age 64.9 ± 11.3…

Design

Cohort

Follow-up

mean 12 ± 6 months

Key result

A CHA2DS2VASc score ≥6 was associated with a significantly higher risk of major adverse cardiac outcomes in patients without atrial fibrillation (RR 4.2; 95% CI 1.27-13.90).

Authors

GPGUSTAVO FREB POLENZTLTiago Luiz Luz LeiriaVEVidal Essebag

Discussion

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Overview

May aid MACE risk stratification in non-AF outpatients; hypothesis-generating and requires prospective validation.

Study Design

Type

Cohort (n=468)

Structured PICO

Does the CHA2DS2VASc score predict major adverse cardiac outcomes in ambulatory patients without atrial fibrillation?

P
Population
468 outpatients without atrial fibrillation or flutter, not using oral anticoagulation. Mean age 64.9 ± 11.3 years, 88.4% with hypertension, 37.6% with diabetes, 26.3% with heart failure, and 61.7% with vascular disease.
I
Intervention
CHA2DS2VASc score assessment and stratification
O
Outcome
Major adverse cardiac outcomes (including stroke and death)composite

Main Result

Effect estimate: RR 4.2 (95% CI 1.27-13.90)

p-value: p=0.035

The CHA2DS2VASc score, traditionally used for atrial fibrillation, can also predict major adverse cardiac outcomes in ambulatory patients without atrial fibrillation.

Cite This Study

POLENZ et al. (2015) conducted a cohort in Ambulatory patients without atrial fibrillation (n=468). CHA2DS2VASc score ≥6 vs. Lower CHA2DS2VASc score was evaluated on Major adverse cardiac outcomes (RR 4.2, 95% CI 1.27-13.90, p=0.035). A CHA2DS2VASc score ≥6 was associated with a significantly higher risk of major adverse cardiac outcomes in patients without atrial fibrillation (RR 4.2; 95% CI 1.27-13.90).

synapsesocial.com/papers/6a158a645347fbb1739ff06dhttps://doi.org/10.1111/pace.12744
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