Key result
HATCH score linked to ~3.7-fold higher odds of ischemic stroke in HF with AF.
Why the study?
The coexistence of AF and HF substantially increases ischemic CVE risk, and whether the HATCH score predicts ischemic CVE in these patients was investigated.
Does the HATCH score predict ischemic cerebrovascular events in patients with heart failure and atrial fibrillation?
Cohort (n=673)
No
Does the HATCH score predict ischemic cerebrovascular events in patients with heart failure and atrial fibrillation?
Odds Ratio: 3.722 (95% CI 2.656–5.215)
p-value: p=<0.001
The HATCH score may serve as a highly sensitive and specific independent predictor for ischemic cerebrovascular events in patients with coexisting heart failure and atrial fibrillation, potentially outperforming the standard CHA2DS2-VASc score.
May enhance cerebrovascular risk prediction in HF-AF; leaves open prospective validation versus CHA2DS2-VASc before practice change.
The presence of both atrial fibrillation (AF) and heart failure (HF) increases the risk of an ischemic cerebrovascular event (CVE) by roughly fivefold. The HATCH score is a score used to predict new-onset AF. Although there are some differences, it contains risk factors similar to the CHA2DS2-VASc score. Our study aimed to investigate the relationship between the HATCH score and ischemic CVE. This retrospective study obtained data from 1719 HF patients between 2015 and 2022. About 673 patients with AF were included in the study. In the univariate and multivariate Cox regressions, we found that CHA2DS2-VASc and HATCH scores were independent predictors of ischemic CVE (p = 0.001 and < p = 0.001, respectively). The ROC analysis, AUC for the CHA2DS2-VASc score was 0.884 (95% CI 0.828-0.940, <p = 0.001). For the HATCH score, the AUC was 0.978 (95% CI 0.966-0.991, <p = 0.001). The HATCH score can be an independent predictor of the development of ischemic CVE in HF patients with AF.
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Aydın et al. (2024) conducted a cohort in Heart failure and atrial fibrillation (n=673). HATCH score was evaluated on Development of ischemic cerebrovascular events (CVE) (OR 3.722, 95% CI 2.656-5.215, p=<0.001). The HATCH score independently and accurately predicted ischemic cerebrovascular events in patients with heart failure and atrial fibrillation, demonstrating an adjusted OR of 3.722 and an AUC of 0.978.
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